Wiki Double billing/E&M for labs

[IvyKafka]

If a provider orders a lab/ text/ exam...and then calls the patient (telehealth) back on another date with results...what is the appropriate code?
If it is the same provider ordering AND interpreting...does the billing entity (for example a Federally Qualified Health Center location code 50) get to use that in their E&M for both visits..maybe because they are different dates of service?
Thanks in advance.

 

[CBLENNIE]

https://www.cms.gov/regulations-and-guidance/guidance/manuals/downloads/clm104c16.pdf
30.4 - Payment for Review of Laboratory Test Results by Physician (Rev. 1, 10-01-03)B3-5114.2 Reviewing results of laboratory tests, phoning results to patients, filing such results, etc., are Medicare covered services. Payment is included in the physician fee schedule payment for the evaluation and management (E and M) services to the patient. Visit services entail a wide range of components and activities that may vary somewhat from patient to patient. The CPT lists different levels of E and M services for both new and established patients and describes services that are included as E and M services. Such activities include obtaining, reviewing, and analyzing appropriate diagnostic tests.

This question comes up frequently, there is not a billable charge for calling a patient back with their lab results. Here is a specific citation from another post on this topic with a link to the CMS manual regarding this issue.

 

[sls314]

This question comes up frequently, there is not a billable charge for calling a patient back with their lab results. Here is a specific citation from another post on this topic with a link to the CMS manual regarding this issue.

In addition to this, I'll also point out that the telephone E/M CPT code descriptions specifically state:

Telephone evaluation and management service by a physician or other qualified health care professional who may report evaluation and management services provided to an established patient, parent, or guardian not originating from a related E/M service provided within the previous 7 days nor leading to an E/M service or procedure within the next 24 hours or soonest available appointment