Wiki 2 visits on same day in same office by two different providers

[plwishon60]

I need advice for this situation. our Nurse Practitioner saw a new patient, he was diagnosed with right elbow bursitis. NP referred him to ortho for aspiration. pt could not get in that same day, so our MD told pt to come back in the afternoon and he would aspirate the bursa.

the Nurse Practitioner charged New Patient E/M for the morning appt, MD wants to charge for Established Patient E/M and the aspiration for the afternoon. my question is can this be done? or should we just bill for the procedure in the afternoon and the Office visit in the morning. can i use modifier 57 for the afternoon E/M?

any advice will be greatly appreciated
thanks

 

[ajgibson]

Put an XP modifier on it.

 

[Linda77]

Question is the NP supervised by the Dr. or are they both under the same Tax ID?

If they are under the same # then from the insurance side they are viewed as the same person.
If that is the case then the NP can put elbow pain then the Dr. can give the definitive Dx. And
then put a mod 25, SA if they do share the same Tax ID or is supervised using the same number.
If they do then it would be established. Hope that helps!