Wiki Medicare Advantage plan

wadej

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Can you bill annual mcr wellness, office visit and preventive visit within the same encounter? example G0438, 99214 and 99397 together.
Thanks
JHW
 
No you cannot submit all 3. You may be able to bill an E&M with the AWV but there would be no reason to report both the preventive and AWV as they overlap.

Also 99214 seems pretty high for someone who is coming in for a routine physical. Its best to keep a completely separate note as each visit needs to be able to stand alone. You can't count aspects of the physical when determining the E&M level. There's typically a lot of overlap.
 
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