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Modifier for Q0091 and G0101 with E&M 99214

Need help please!
Patient came to office for follow up and also performed pap smear (routine pap). Claim was submitted with
99214 with modifier 25 with Dx N64.89, J30.9, M25.529, Z01.419
Q0091 with Dx Z01.419 (without modifier)
G0101 with modifier 59 with Dx Z01.419
Avmed denied Q0091 as the procedure code is not paid separately and G0101 was also been denied due to the procedure code is inconsistent with the modifier or a required modifier is missing.
Please advise, if the modifier 59 should be appended to Q0091 and leave G0101 without modifier? Thank you!

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