tci E/M Coding Alert - 2021 Issue Q2

Reader Questions: Report This Second E/M at Your Peril

Question: Our provider saw a patient who was experiencing shoulder pain. The provider decided to treat the patient’s pain with medication but told the patient if the pain did not improve, the patient should come back for a joint injection. A month later, the patient called and said the pain was still occurring, so we scheduled the patient for the injection in-office, which the provider administered. In addition to the 20610, can we also bill for an office/outpatient E/M visit for this second encounter? California Subscriber Answer: You cannot report another E/M for the second encounter. Your provider...

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