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Annual Wellness Visit & E/M Same day

  1. Default Annual Wellness Visit & E/M Same day
    Medical Coding Books
    Has anyone in KY been paid for Annual Wellness Visit with an E&M+25 modifier rendered on same day?

  2. #2
    Default
    I am not in Kentucky but we have had sucess reporting both. We ask that our providers open a seperate encounter and document the problem visit seperately from the AWV.

  3. #3
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    In SC, we have to append modifier 25 to both E/M codes in order for them to pass edits.


    Bill Hale, CPC

  4. Default
    I am from Ohio and have had no success billing the AWW exam and E&M code although everything I read states it is allowed as long as you use the 25 modifier. :{

  5. #5
    Location
    Capital Coders, Columbia, SC
    Posts
    145
    Default
    Yes. Append 20 modifier to BOTH E/M codes. Also, make certain your problem diagnosis is linked to the problem E/M, and the preventive (V code) is linked to the preventive E/M. (and again, it does depend on the payer if they will allow these together on the same day.)


    Bill Hale, CPC

  6. Question follow up to this "Annual Wellness Visit & E/M Same day
    Quote Originally Posted by DebbieJames View Post
    Has anyone in KY been paid for Annual Wellness Visit with an E&M+25 modifier rendered on same day?
    As an OBGYN practice is it permissable to use the AWV code for the preventive exam that our providers do?

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