tci E/M Coding Alert - 2014 Issue 2
Specialty Focus - Internal Medicine: Skipping Tests, Screenings With Preventive Medicine Codes Will Cost Your Practice Hundreds
Pay attention to modifier 25 requirements to help ensure payment. You know that you should choose a wellness visit code based on the patient’s age. Where preventive medicine encounter coding gets tricky is in determining if you can bill ancillary services along with 99381-99387 (Initial comprehensive preventive medicine evaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory guidance/risk factor reduction interventions, and the ordering of laboratory/diagnostic procedures, new patient …) or 99391-99397 (Periodic comprehensive preventive medicine reevaluation and management of an individual including an age and gender appropriate history, examination, counseling/anticipatory...
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