AAPC - Back to school
Results 1 to 3 of 3

Thread: N/P preventative with E/M visit

  1. #1
    Join Date
    Apr 2007

    Default N/P preventative with E/M visit

    AAPC: Back to School
    If a new patient has an E/M visit along with a preventative on the same day are they both billable, and does th eoffice visit get billed as an established patient? Thanks.

  2. #2
    Join Date
    Apr 2007
    Greeley, Colorado


    Yes - if they are separately identifiable. Mod -25 on the E/M. We code new for the preventive and established for the problem-oriented E/M.

  3. #3
    Join Date
    Apr 2007
    Central Arkansas

    Default preventative vs new pt ov

    The ins. company that i work for has a policy that states if a new pt comes in for their preventative visit that is considered their new pt visit. However, if there is something else going on with the pt to get an OV with the preventative they would be an need to bill an established visit not a new patient visit.

Similar Threads

  1. Replies: 1
    Last Post: 10-31-2011, 07:42 AM
  2. Preventative Visit
    By Ann in forum E/M
    Replies: 1
    Last Post: 04-11-2011, 01:24 PM
  3. Replies: 2
    Last Post: 02-02-2011, 08:33 AM
  4. Billing Sick visit with Preventative Visit Reimbursement
    By sgormsen in forum Internal Medicine
    Replies: 3
    Last Post: 12-14-2010, 01:16 PM
  5. preventative visit with ov
    By nc_coder in forum Family Practice
    Replies: 1
    Last Post: 04-20-2010, 08:58 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.