E/M

Can you bill a "preventative" E/M code along with a regular office visit? I am having a conversation as I thought that we would bill the preventative and then place the appropriate dx code showing the story that would go along with the patient notes.

Patient comes in for a preventative exam that turns diagnostic, they want to bill both E/M codes on the same dos same doctor. ?

Please advise.

Thank you

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E/M