tci ED Coding & Reimbursement Alert - 2003 Issue 2

Surgical Procedure Code + E/M Code Can Be Correct Coding

When can you report both an E/M code and a surgical or procedure code for the same visit? is the million-dollar question. James Blakeman, senior vice president of Healthcare Business Resources in Bala Cynwyd, Pa., offers these rules for separately reporting an E/M service in addition to procedure codes. (See other article on this page for more on these distinctions.)Reporting both a starred procedure and an E/M code is correct if any of the following apply: the initial E/M documentation indicates an evaluation of the need for the procedure the visit is postprocedure the E/M is separately identifiable...

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