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Thread: Medicare annual wellness

  1. #1
    Join Date
    Apr 2007
    Jackson, TN

    Default Medicare annual wellness

    AAPC: Back to School

    I have a question;

    A provider sees a Medicare patient for a workman's comp followup visit (neck injury). The patient also has multiple medical problems (hypertension, hyperlipidema, diabetes) and these problems are addressed, rx written, labs ordered and done. Finally, the Medicare wellness visit it completed. All 3 visits are documented appropriately and could "stand alone". Is it correct to bill workman;s comp, the Medicare wellness visit, and the level 4 office visit with a modifer? SUch as this:
    Bill W/c
    99214- 723.1, e849.3
    Bill medicare
    99214, 25, 401.9,250.00,272.4
    g0438- v70.0

  2. #2


    Looks appropriately billed; just be sure the components of the G0438 are fully met---all the referrals, careplan, and list of other docs treating the patient---sometimes this gets overlooked!

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