Wiki Annual Wellness Visit & E/M Same day

[Dcoder]

Has anyone in KY been paid for Annual Wellness Visit with an E&M+25 modifier rendered on same day?

 

[berger]

I am not in Kentucky but we have had sucess reporting both. We ask that our providers open a seperate encounter and document the problem visit seperately from the AWV.

 

[halebill]

In SC, we have to append modifier 25 to both E/M codes in order for them to pass edits.


Bill Hale, CPC

 

[kimber88]

I am from Ohio and have had no success billing the AWW exam and E&M code although everything I read states it is allowed as long as you use the 25 modifier. :{

 

[halebill]

Yes. Append 20 modifier to BOTH E/M codes. Also, make certain your problem diagnosis is linked to the problem E/M, and the preventive (V code) is linked to the preventive E/M. (and again, it does depend on the payer if they will allow these together on the same day.)


Bill Hale, CPC

 

[leewagner]

follow up to this "Annual Wellness Visit & E/M Same day

Has anyone in KY been paid for Annual Wellness Visit with an E&M+25 modifier rendered on same day?

As an OBGYN practice is it permissable to use the AWV code for the preventive exam that our providers do?