Office Visit with Preventative Med

[@inferno1021891]

Great episode. As a family practice coder I see this constantly. Can you touch on AWVs with an office visit? We have a lot of providers who do office visits when everything is stable. My argument is the service has to be medically necessary to perform, so if everything is stable, it would not be medically necessary. They'll send a referral for labs or refill stable scripts and charge a level 4. What are your thoughts?

[@emilyhawk481]

As a family med coder, I see this as well

[@inferno1021891]

​@@emilyhawk481 How do you handle it? I am very hesitant to give credit and I am getting a lot of pushback from my managers.

[@emilyhawk481]

If there is enough to stand alone from the AWV then I will charge it. But if it's all stable and fits in with the preventative measures, then I don't. I use AAPC's E/M calculator to help me determine the level of I think there is enough there. Based on your first comment, I don't find those things to be enough to charge an additional office visit