physicals and "sick" visits together

When a patient comes in for a physical I believe their "ongoing" problems eg: diabetes,hypertension,hyperlipidema, are all covered under the "physical", however if the patient has a cold, they can charge an E/M code also, it this true? and also what if they have a new problem such as hyperlipidema can they charge a E/M code. Thank you

re: physicals and

Technically, you should be able to bill both with modifier 25 on the non-well E&M. You will probably still have to appeal a bundle. Separate and distinct charting on the new problem will help your cause.