General Surgery Coding Alert

Compliance:

Focus on Diagnoses to Make the Proper E/M Decision

You must document separate services and use modifier 25. A patient walks into the office for a scheduled procedure — but also presents a different problem that your general surgeon must evaluate and manage. Don’t buckle under and lose pay your surgeon deserves when the encounter notes demonstrate two necessary, separate services. Instead, you can bulwark your claims by including [...]
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