I know the CPT allows for a problem oriented E&M that is encountered and requires further work up, at the time a prevetive exam is being done. The provider should bill with two separate notes. What I am questioning is : if the patient is schedualed for a sick visit, follow up for medical condition, can the physician also bill for a preventive visit just because the patient is due for one? CPT only comments on the preventive visit and addressing a problem at that time. Would you bill for both?