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Thread: Well care VS Sick E/M = can be charged on same day?

  1. #1
    Join Date
    Apr 2007

    Default Well care VS Sick E/M = can be charged on same day?

    AAPC: Back to School
    Please help....
    The provider wants to do two things during a patient's visit:
    1) Well care check-up wherein the provider can administer the immunizations, flu vaccines, etc.
    2) at the same time, pt was diagnosed with asthma-related problems, therefore, was treated with asthma related treatment.

    Can a provider do this and charge 2 separate E/M (ex: well care 99381 DX: v20.2 plus the immunization/admin of the drugs and 99213 DX 493.90) on SAME day? if so, is there a modifier to be used on the E/M? which E/M?

    Thank you for your help.

  2. #2

    Default well

    Yes, and mod -25 goes on the OV. You cannot use to justify level of OV w anything which was examined during the physical. It must be a separate exam whose documentation will stand on its own.

    That's the part some people forget. Your level 3 may end up as a 2.

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