• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Annual Well Visit and Annual Preventative Visit for Medicare Advantage Plans

mamoore56

Contributor
Local Chapter Officer
Messages
20
Location
St Augustine, FL
I was posed a question from one of the offices I work with about billing of the Medicare well visit G0438 and G0439 along with code 99387 or 99397. From the guidelines I see you can't bill both the Medicare well visit G0438 or G0439 along with the preventative visit 99387 or 99397? This is for a Medicare advantage plan claim. The only thing I see you can bill two visit codes would be the annual well visit G0438 or G0439 along with E/M code 99212 - 99214 if a medical diagnosis/acute diagnosis is discussed at the time of the visit. At that time, you would bill the 99212-99214 with modifier "25". Am I on the right page? Thank you.
 
Top