We have a patient that does not want to have a full physical exam since Medicare doesn’t cover it and she is unable to pay out of pocket for the uncovered portion. Can we see the patient and bill an E/M code for the office visit portion to discuss lab results and then bill CPT Q0091 and G0101 for the pap, pelvic and breast exam? Will Medicare still pay for E/M? If so, do I use modifier 25 on the office visit? (we are her PCP)

Thanks!!