EM Coding Alert

Knowing when you can use a modifier to seek separate E/M payment will add dollars to your claim.

The Correct Coding Initiative (CCI) 20.3 edits include bundles that pair most of the E/M codes with radiology, psychiatric, and urology procedure codes, and memorizing them may not be realistic. If you don’t know which codes the new bundles involve, or when you can — and can’t — use a modifier to break those bundles, your claims may fall into the rejection pile. 

Cut out this table and keep it where you can access it quickly to ensure you don’t miss an opportunity to separately report two codes, when clinically warranted.