A desk reference for choosing the level of an evaluation and management service: the two code families, medical decision making against total time, the three elements, and the settings that do not follow the office rules.
The wellness visit is a prevention plan, not a physical. Here are the codes, the clocks, the health risk assessment requirements, and the documentation test that decides whether a problem visit on the same day pays.
A same-day visit and a procedure can both pay. What decides it is whether the note shows two pieces of work, and the OIG's audit of same-day E/M services billed with modifier 25 found that mostly it did not.
