Annual Wellness Visit vs. E/M Visit: What’s the Difference?
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:
- Reviewing your medical history, medications, and allergies
- Assessing health and safety risks
- Depression and cognitive screening when appropriate
- Reviewing recommended preventive screenings and vaccinations
- Discussing lifestyle and health goals
- Creating or updating your personalized prevention plan
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:
- Managing high blood pressure or diabetes
- Evaluating a new symptom or illness
- Changing or prescribing medications
- Reviewing abnormal laboratory or imaging results
- Managing chronic medical conditions
- Ordering diagnostic testing
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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