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We have also made use of the annual CY PFS rules to address quality reporting for the Shared Savings Program and certain other issues

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Medicare and Medicare Advantage plans generally use HCPCS codes that start with G (e.g., G0402 for initial preventive physical exams, and G0438 and G0439 for annual wellness visits) while commercial payers use CPT codes (e.g., 99381-99387 and 99391-99397 for annual routine physical exams)

Whenever possible, respondents are requested to draw their responses from objective, empirical, and actionable evidence and to cite this evidence within their responses

Common Modifiers Modifier 25 is applied to the E&M code (not to 99406) when both services are reported on the same date

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