Wiki E/M with Prev Counseling?

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kathydaniel

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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
 
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
 
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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