Preventive exams are not designed to address problems; they are designed to prevent them. A patient may have a condition which requires some sort of MDM (say, prescription management), which could be addressed during a PE encounter, but the work involved isn't an inherent part of the PE code.
If the physician documents the HPI, relevant ROS, exam elements, and MDM associated with the problem, you would be able to justify billing the appropriate level of problem-oriented E/M, in addition to the PE (with a 25 modifier, of course). Since the elements of ROS and exam (documented for the problem, and for the comprehensive Hx and Exam associated with the PE) overlap, the only way to assess the score of the problem-oriented E/M is by using the HPI, and MDM - those elements are unique to problem-oriented E/M's. Hope that helps!
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