Billing High Level EM in place of well check

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It would be appropriate if the provider documented an abnormal finding and investigated the finding. Then you could bill the preventive dx code plus the abnormal finding, and use the high visit level with the 33 modifier. If the only thing you have is a lengthy annual with no abnormal,finding then no you cannot convert the encounter to a high level visit.

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Debra A. Mitchell, MSPH, CPC-H

Billing High Level EM in place of well check