During their symposium in Chicago in Nov the AMA clarified that in 2011 you will no longer need to append a modifier-25 to wellness visits billed with covered screening tests, however you will still need to use the modifier if you are billing the wellness exam with a separately identifiable E/M service.
They also clarified that the new subsequent observation codes (99224-99226) are designed to be reported by both the physician who initiates observation care and any other doctor who evaluates the patient. For the non-initiating doctors, the AMA states you should report consult codes for non-Medicare payers and the subsequent observation codes for Medicare
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