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Wiki AWV and Consult on same day.

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jojo1uf

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Hertford, NC
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Hi,

Can an AWV G0438/G0439 (either initial or subsuquent) be reported with an outpatient consultation (99241-99245) on the same day? I checked the 10/1/16 CCI edits and these coding combinations are not present. [I am compiling documentation of preventative services for physicians to reference. The documentation includes all pertinent information for each HCPCS/CPT (documentation guidelines, frequency, etc). I am also including codes that can and cannot be reported on the same DOS.]

Thank you very much,

Josephine, CPC, COC
 
First thing, Medicare does not recognize consultation codes.

As far as consultations go, in order to bill for one, the 3 R's have to be met - request, review/render, respond. Is the provider performing an AWV and also completing a requested consult from another provider?
 
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