E/M with Prev Counseling?

kathydaniel

Networker
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76
Location
Columbus, OH
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Can you bill an E/M code with a Preventative Counseling (99401-99404)? The description states that "services may be reported separately when performed". The doctor I bill for does a lot of wellness/preventative counseling and wanted to know if she covers these areas, can she bill this along with the E/M code.

I read one thing and think no, then read something else and think yes. Can anyone help me out?

Thanks!
Kathy
 

arleneg527

Networker
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Hi Kathy,

You can bill them but you would need to use a modifier. Where I work they discourage it because some insurance companies will not pay for both in the same visit.

Arlene
 

happycoder07

Networker
Messages
34
Location
Kansas City, MO
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Hi Kathydaniel,

I agree with Arlene about billing a modifier to the E/M as long as the documentation states separately identifiable, this happens alot at the insurance company I work for and for the most part the 2 procedures are reimbursed separately.

Pedenia Y. Evans, CPC
 
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