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coders_rock!

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Can you report a critical care E/M and an subsequent hosp care E/M on the same day, different doctors, same group???


Thank you!
 
Per the AAPC webinar on Critical Care you can bill for both with certain restrictions. The CPT allows for CC before or after the E/M service. However, Medicare restricts it to the E/M being only before the CC time and it needs the 25 modifier. They say that they will automatically deny in order to get documentation on appeal.
 
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