Preventive and 99173

[NIEVESM]

Hello everyone,
Does anyone know if Anthem will covered for a well child exam and also an audiometry test (92552) and Vision Acuity 99173 If I append a mod 25? Or do they considered these test incidental to the preventive?

[loryanned]

Well, I am not 100% sure... I believe that that would be considered an unbundling of the services for a WellCare check. For example, when I do a sports physical or a DOT physical, I do not code or charge the vision or hearing checks separately. Hope this helps!

[NIEVESM]

Thanks Loryanned I also do not code for sports physical or DOT, but was wondering I have billed already I will follow up to see if got pay with the wellcare. Thanks