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Thread: Annual Preventive Exam vs WWE same day appts

  1. #1
    Join Date
    Apr 2007

    Question Annual Preventive Exam vs WWE same day appts

    AAPC: Back to School
    Here is the problem:

    Female patient comes in for an Annual PE with her PCM, turns out that her provider is not comfy doing paps (neither is she, she prefers for a female to do this). So, she is scheduled for an WWE either on the same day (same clinic/diff provider) or she can have an appt a few weeks from now.

    The Annual PE is completed & a preventive E&M is assigned. If the same day WWE is kept how should this be coded & how should it be coded a few weeks from the original appt (another prev?)?

    Is it possible (legal) to code two, same day annual health checks (PE/WWE) appt as preventives? Is it possible to code these appts within a few weeks/months of each other?

    Medicare/aid does not apply in this case.

  2. #2


    It would not be wise to code and bill for both. Many commerical insurance will deny as well. Only code and bill for services that were provided.

  3. #3
    Join Date
    Apr 2007


    Thanks for responding,
    but these 2 appts actually happend & now both providers are determined to code their appt as preventive E&M exams! I told them that this would not be correct & could eventually be taken the wrong way by someone (auditor)!
    Since these appts did happen, could I code one with an preventive E&M and the other as a reg outpt visit, or should one be coded with 99499 since it is a scheduled procedure (pap)??

  4. #4
    Join Date
    Apr 2007
    Cape Coders


    I'm not sure I understand. You want to bill a PE, a WWE, and a E/M on the same day? That I don't think you can do but you can bill a PE with and E/M or a WWE with an E/M. Medicare has been paying E/M's bill with WWE billed by my office.

    Whats a PMC? Primary medical clinician?

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