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This is particularly relevant for functional medicine and wellness clinic settings, where the provider mix often includes NPs, health coaches, and registered dietitians alongside physicians

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The core rules aren't complex: the patient must be established and between 40 and 64 years of age, the visit must include all five required clinical components, the primary diagnosis must be Z00.00 or Z00.01, and Modifier 25 must be applied correctly when a same-day problem-oriented E/M is performed

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