tci Medicare Compliance & Reimbursement - 2011 Issue 16

Preventive Care: Don't Look to CMS for AWV Diagnosis Coding Advice

Know what you can legitimately report with annual wellness visit. You can forget about Medicare providing you with a standard diagnosis code to use for your annual wellness visits (AWVs). That's the word from CMS's "ABC's of Initial Preventive Physical Exam and Annual Wellness Visit National Provider Call," which took place on July 21. Although many practices pressed the agency for information on which ICD-9 codes to report with AWVs, CMS stood fast in refusing to pinpoint any one particular code. "There are no specific ICD-9-CM diagnosis codes that are required to be included on an annual wellness...

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