George Posted 4 month(s) ago
A patient comes in to review lab results with the doctor. During the visit they discover that they are due for their annual visit. Is it appropriate to bill a 99395 (Annual) along with the appropriate E/M code on the same day.
SuperCoder Posted 4 month(s) ago
Please consider the following explaination :
Preventive E/M codes include a comprehensive exam, encompassing management of chronic and/or stable conditions, abnormal findings on review of systems, and diagnosis and treatment of minor conditions. It is rare that a separate E/M code is justified because its components cannot be independently met, however when documentation is provided that supports reporting the separate service and the problem E/M code is billed with modifier -25, separate payment may be considered.
Further query is welcome.
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