tci E/M Coding Alert - 2024 Issue Q1

Reader Question: Decipher Cancer Care Follow-Up Details

Question: I have two questions regarding follow-up appointments for the prostate patients we see in our radiation oncology practice. When the patient finishes their radiation treatment, our doctor orders prostate-specific antigen tests (PSAs) at six weeks, six months, and 12 months following treatment. We send our patients to an outside lab to have the PSA drawn and do not bill for it. My first question is this: Can we bill an office evaluation and management (E/M) visit when the patient follows up for their PSA results unless the visit falls in the global period for Medicare plans? Also, patients...

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