June 2001 page 12-end
Coding Consultation
Evaluation and Management, -25 (Q&A)
Question
Our physician performed an evaluation and management service and then performed a procedure on the same day. We are reporting both the E/M service and the code for the procedure. Is it necessary to have different diagnoses for the two services provided?
AMA Comment
From a coding perspective, different diagnoses are not required in order to report an E/M service code and a procedure code on the same date. If the same condition for which the procedure is performed also warrants the performance of the key...
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