tci E/M Coding Alert - 2022 Issue Q3

Reader Questions: Look to Patient Insurance Status for Clue on Billing Second Visit

Question: One of our providers will decide that a patient has to have surgery, then have the patient come back just before the surgery to go over everything with the patient, especially if there is a gap of a couple of months between appointments. The provider wants to bill a level-four office/outpatient evaluation and management (E/M) visit for the second visit, even though nothing has changed in the patient’s situation since the first encounter. Can we do this? Or is the second visit regarded as part of the global package for the surgery? AAPC Forum Participant Answer: If...

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