Can a medically necessary evaluation and management (E&M) visit be billed on the same day as the lung cancer screening counseling and shared decision-making visit?


As long as the national coverage determination (NCD) requirements for the counseling and shared decision-making visit are met, it may be billed on the same day as a medically necessary E&M visit or an annual wellness visit with the -25 modifier. For coverage and billing details for this service, see the transmittal at


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