cpt 99201

Can We Bill E/M & 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 (G0438G0439) 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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