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tci General Surgery Coding Alert - 2006 Issue 4
READER QUESTIONS: Include Evaluation With Scheduled Procedure
Question: The surgeon meets with a patient and recommends a breast biopsy, which the patient schedules for the following week. We report a consult for this visit. On the day of the biopsy, the surgeon re-examines the patient, answers questions, etc. The time spent prior to starting the procedure is 10 minutes. Should we bill this service as 99212-25 on the same day as procedure 19103?Colorado Subscriber Answer: In this case, you won't report a separate E/M (even a low-level visit such as 99212, Office or other outpatient visit for the evaluation and management of an established patient...
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