Jimmie,
I think what Bill was saying is that Medicare may whack down the E&M code by 50% when you do wellness visit on same day. So the $93 reimbursement for 99213.5 may go down to $46 if you do a procedure (wellness visit?) same day.
...Ken
"Pay may be cut for same-day E/M visits, procedures: CMS proposes to apply a multiple-service payment adjustment when an E/M visit is reported the same day as a procedure, similar to the long-standing multiple-procedure payment reduction for surgical and some imaging services. Under the proposal, when an E/M is reported on the same date as a procedure, Medicare would reduce payment by 50% for the least expensive service provided. In some cases, it could be the E/M service ? for example, if reported with a higher-valued procedure such as an injection. In other cases, the reduced payment could be for the procedure, such as an EKG. The proposal appears to apply to office-based services, when modifier 25 would be appended to the E/M code."
from
https://pbn.decisionhealth.com/Blogs/Detail.aspx?id=200733
