Primary Care Coding Alert

CCI 17.2 Edits:

Nix Annual Wellness Visit With ECG, E/M, and Behavior Assessment

Tip: Appending modifier 25 can help save AWV with some claims.Until now, you've been able to report some components of annual wellness visits (AWVs) separately from the AWV. That will no longer be the case effective July 1, thanks to the latest round of Correct Coding Initiative (CCI) edits. CCI version 17.2, which takes effect July 1, offers 2,367 new edit pairs and deletes 336 bundles, according to an analysis by Frank Cohen, MPA, MBB, principal and senior analyst with The Frank Cohen Group, LLC. The majority of edits impact the codes from the musculoskeletal code range (20000-29999), but bundles did occur to codes throughout the CPT® manual.Avoid AWV With Health/Behavior AssessmentMost edits of interest to family physicians center on AWV codes G0438 (Annual wellness visit; includes a personalized prevention plan of service [PPS], initial visit) and G0439 (Annual wellness visit; includes a personalized prevention plan of service [PPS], subsequent [...]
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