CPT 99201

Can we bill Evaluation and Management (E/M) and Annual Wellness Visit (AWV) on the same date?


Medicare will pay for a significant, separately identifiable medically necessary E/M service (Current Procedural Terminology [CPT] codes 99201-99215) billed at the same visit as the AWV (G0438 – G0439) when billed with modifier -25. That portion of the visit must be medically necessary to treat the beneficiary’s illness or injury, or to improve the functioning of a malformed body member.
Reference: https://questions.cms.gov/faq.php?id=5005&faqId=3325

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