billing preventative and sick visit on same day

minbes

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Stafford, VA
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I work in an obgyn office, if a patient comes in for her well woman exam and says she has heavy cycles, or something else going on
does that mean she is symptomatic and we need to bill an e&m code with both dx codes...

or do we bill the ww annual cpt code with both diagnosis codes?

the more i think about it the more confused I get
 
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