DecisionHealth, DecisionHealth - 2012 Issue 1 (January)

Ask a Part B News Expert: Annual Wellness Visits and E/Ms

Our physicians provide annual wellness visits (AWV) and bill either 99397 (periodic comprehensive preventive medicine re-E/M of an established patient) or E/M visits, 99212-99215, in addition to the AWV especially if the patient has a current issue or needs follow up on a chronic disease. The providers distinguish between the annual physical (99397) and a preventive exam, such as the AWV, as separately billable. Is this correct? Also, can you bill for an annual physical (99397) and an AWV if the patient’s secondary insurance covers the 99397?

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