I am not sure this will help but it may be a start.. it is an except from the coding guidelines on administrative exams
Routine and administrative examinations
The V codes allow for the description of encounters for routine examinations, such as, a general check-up, or, examinations for administrative purposes, such as, a pre-employment physical. The codes are not to be used if the examination is for diagnosis of a suspected condition or for treatment purposes. In such cases the diagnosis code is used. During a routine exam, should a diagnosis or condition be discovered, it should be coded as an additional code. Pre-existing and chronic conditions and history codes may also be included as additional codes as long as the examination is for administrative purposes and not focused on any particular condition.
So just because the patient has a cronic dx as long as there is no symptomatic problem then it is still all for the preventive exam. Look on the AMA website as they have had some very good articles on the issue of split visits.
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