I know this has been addressed before but hope to get solid advice on the following:
Our office is in New York where direct access is not allowed, so when a PCP sends the patient to the gastro physician for a colonoscopy, the gastro must evaluate the patient and then he is the one to order the colonoscopy. So when the gastro does his E&M one week prior to the test and there is no injury or illness, just routine, can we bill the E&M? I believe we are unable to bill a visit without a problem or possible comorbidities to review for risk to meet key component guidelines. Any help is appreciated!!
Our office is in New York where direct access is not allowed, so when a PCP sends the patient to the gastro physician for a colonoscopy, the gastro must evaluate the patient and then he is the one to order the colonoscopy. So when the gastro does his E&M one week prior to the test and there is no injury or illness, just routine, can we bill the E&M? I believe we are unable to bill a visit without a problem or possible comorbidities to review for risk to meet key component guidelines. Any help is appreciated!!
