tci E/M Coding Alert - 2016 Issue 5

You Be the Coder: Put Locum Tenens Rules to Work for You Using These Tips

Question: Our practice recently hired a locum tenens (LT) physician to fill in for a physician who is on maternity leave. I’ve never coded for an LT physician. Notes indicate that she recently performed a level-three E/M visit for an established patient. How do I code this scenario? Montana Subscriber Answer: You’ll code for the substitute physician’s services with Medicare — or payers who follow Medicare’s billing and coding guidelines — under LT rules and regulations. On the claim, report 99213 (Office or other outpatient visit for the evaluation and management of an established patient...

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