Our auditor allows providers to bill an E/M with Wellness visits when patient presents without complaints, but get labs done. This has the 'potential', but provider is not giving a status of the condition of the patient with regard to the Problem the lab is being ordered for. To me this is important, otherwise it is just a lab order. We have no HPI, no presenting problem other than the Wellness . The labs are linked to a problem dx. There is detailed exam. sometimes refill of a medication, but not always.
I know you only need 2/3 to determine complexity but with no CC for this office visit is modifier 25 supported?. I do not have a Presenting Problem.
I have been shot down on this and just wanted other opinions.
I know you only need 2/3 to determine complexity but with no CC for this office visit is modifier 25 supported?. I do not have a Presenting Problem.
I have been shot down on this and just wanted other opinions.