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Neurology & Pain Management Coding Alert

Edits Update:

CCI Version 17.2 Prevents Reporting Muscle Testing With AWV

Published on Mon Jul 11, 2011

Tip: Appending modifier 25 can help save annual visit with some claims.Until now, you've been able to report some services (such as muscle and range-ofmotion testing) separate from annual wellness visits (AWVs). That will no longer be the case effective July 1, thanks to the latest round of Correct Coding Initiative (CCI) edits.CCI version 17.2, which takes effect July 1, offers 2,367 new edit pairs and deletes 336 bundles, according to an analysis by Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC.Combine Muscle Test With Annual VisitHCPCS introduced two new annual wellness visit (AWV) codes in 2011: G0438 (Annual wellness visit; includes a personalized prevention plan of service [PPS], initial visit) and G0439 (... subsequent visit). If your provider has been coding separately for the wellness visit and certain muscle or range-of-motion tests, you might need to change your practice.According to CCI 17.2, AWVs [...]
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