tci Medicare Compliance & Reimbursement - 2014 Issue 11

Reader Question: Exercise Caution When Reporting E/M Service With AWV Codes

Question: Our FP recently performed an evaluation and management service during an annual wellness visit. Can E/M codes be reported with the wellness visit and if so, is it necessary to use a modifier such as 25 with the annual wellness visit code? The patient is a Medicare patient. Answer: When your FP performs a Medicare annual wellness visit (AWV), depending on whether or not the patient has had a previous annual wellness visit, you report one of the following codes: G0438 (Annual wellness visit; includes a personalized prevention plan of service [PPS], initial visit); or G0439 (…subsequent...

To read the full article, sign in and subscribe to tci Medicare Compliance & Reimbursement.


Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Medicare Compliance & Reimbursement +Archives

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.