CBCS Practice Questions - NHA Certified Billing And Coding Specialist Exam

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A patient presents to their physician for an annual wellness visit. During the visit, the physician also evaluates a new complaint of persistent knee pain and orders an X-ray. How should the coder report this encounter?

Report only the preventive visit code since it was the primary reason for the encounter Report both the preventive visit code and a separate E/M code with modifier -25 for the knee evaluation Report only the E/M code for the knee evaluation since it required more medical decision-making Report the preventive visit with the X-ray code only; no additional E/M is allowed

Correct Answer:

Report both the preventive visit code and a separate E/M code with modifier -25 for the knee evaluation

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