sharlowm
New
I have looked all over and can't find anything definitive on this...It looks like you could bill an E/M service with 36455 (exchange transfusion). My issue is that the note for E/M has a CC of "exchange transfusion". She states "Pt returns for a regularly scheduled PRBC tranfusion". She does a complete history and exam, documents labs and states "pt tolerated the partial exchange transfusion without adverse reactions".
My thought is that this IS not a separately billable E/M, she should just be charging for the procedure. To me this is similar to E/M with chemo, you can't bill the E/M if all you are doing is clearing the pt for chemo, you have to be assessing the disease or addressing some other problem.
I know this will create controversy, so want to be sure I am correct.
Anyone have any firm citations or experience with this? thanks!![Smile :) :)](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
My thought is that this IS not a separately billable E/M, she should just be charging for the procedure. To me this is similar to E/M with chemo, you can't bill the E/M if all you are doing is clearing the pt for chemo, you have to be assessing the disease or addressing some other problem.
I know this will create controversy, so want to be sure I am correct.
Anyone have any firm citations or experience with this? thanks!