tci ED Coding & Reimbursement Alert - 2002 Issue 11

READER QUESTION: Procedures Plus E/M Services

Question: One of our nurses claims I can't use an E/M service code with procedure codes, e.g., 46754 (Removal of Thiersch wire or suture, anal canal). She uses the E/M code only and writes off the repair. But an article in the August 2002 issue of ED Coding Alert states that facilities are allowed to claim with separate codes for E/M services and procedure services, if appropriate. How should I respond to the nurse's advice? Oregon SubscriberAnswer: Your nurse is coding incorrectly. Let her know that by routinely writing off procedure codes and billing only for E/M, she's...

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