Wiki Follow up labs after a Well Visit

[JVILLAS]

If we have a patient who comes into the office for let's say a 5 year well visit who also has a high BMI and so the provider wants to get lab work done, lets say 2 panels. Then they comeback to review those labs on another day, does the results discussion count in the MDM of the follow up visit since technically a well visit is coded by the age of the patient and the labs ordered can't be counted in the well visit as test ordered?

Thank for any input.

 

[ZubairHameed]

Yes, lab review counts under “review of tests” in the MDM, as noted by “Review of the result(s) of each unique test*” in the CPT MDM table (see Category 1: Data).
That said, you can’t bill a follow-up visit based only on lab review — there must be additional medically necessary evaluation or management to support the E/M. Always check the full MDM table for clarity.