Wondering if we could get some guidance on billing Preventive and sick visits same day? CPT states that if an abnormality or a pre-exsisting problem is addressed and the problem is significant enough to require additional work, we are able to bill the E/M with a 25 modifier. If the patient comes in with 3 chronic problems, we know that just refilling prescriptions does not qualify but we were wondering if ordering labs to monitor chronics would? Ex: hyperlipidemia is stable on the medication but ordered a lipid panel for next year.

Thanks
Steph