Attend this webinar and you will get exclusive insights into what's coming with the transition to ICD-11: postcoordination, stem and extension codes and how they are used. See how they will impact your coding processes.
Broadcast will be Thursday, Feb. 13 at 8:00pm ET
7:00pm CT | 6:00pm MT | 5:00pm PT
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tci Part B Insider - 2010 Issue 44
Reader Questions: 38221 + E/M -- Here's How
Question: Sometimes our doctor sees a patient for the first time; performs an E/M complete with history, exam, and medical decision making; and then decides to perform an unplanned bone marrow biopsy that same visit. May we report both?Answer: You should be able to report both for two reasons:Documentation includes a history, exam, and medical decision making (HEM) separate from the biopsy.The bone marrow biopsy was not the original or preplanned reason for the visit.You should report the biopsy with 38221 (Bone marrow; biopsy, needle, or trocar) and choose the appropriate E/M code based on the...
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