DecisionHealth, DecisionHealth - 2011 Issue 3 (March)

4 guidelines for billing an E/M visit together with annual wellness visit

You are allowed to bill an E/M visit in the same encounter as the new annual wellness visit (AWV) when you can prove medical necessity. CMS has softened its threat to prohibit this, Part B News has learned. The key: To bill the E/M with the AWV, append modifier 25 (significant, separately identifiable E/M, same physician/same day) to the E/M code and be able to show that clinical circumstances warrant this in your documentation, CMS says.
 

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