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Annual Wellness Visit vs. E/M Visit: What’s the Difference?

Doctor Patient

What Is an Annual Wellness Visit?

An Annual Wellness Visit (AWV) is primarily a preventive health visit. It focuses on assessing your overall health and identifying ways to reduce future health risks.

It may include:

An AWV is not designed to diagnose or treat specific medical problems.

What Is an E/M Visit?

An Evaluation and Management (E/M) visit focuses on the evaluation, diagnosis, and treatment of medical conditions.

For example, an E/M visit may involve:

Can Both Services Be Provided During the Same Visit?

Yes. If, during an Annual Wellness Visit, you also require significant evaluation or management of a medical condition, an E/M service may be appropriate in addition to the wellness service. This is based on the medical services actually provided and documented and may result in separate patient cost-sharing depending on your insurance plan.

In simple terms:

Annual Wellness Visit = prevention and health-risk assessment.

E/M Visit = evaluation and treatment of medical problems.

Understanding this distinction helps ensure that your care is appropriately documented and that services are billed accurately according to your insurance benefits.

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