Wiki E&M with Hyperbarics

[carol52]

We are discussing wether an E&M should be charged along with a Hyperbarics.
The Pt has osteoradionecrosis of the jaw and no longer has an open wound but is still diving. Should he receive an E & M everytime or not ? Can anyone please help with this.
Thanks.

 

[Mojo]

This is from Highmark Medicare Services:

Evaluation and Management (E/M) Service
Highmark Medicare Services does not expect to see E/M services billed on the same day as HBO treatment unless there is a concurrent medical problem. Documentation must include the examination findings to support the concurrent problem. Wound assessment, wound monitoring, and redressing of the wound, in addition to an assessment of the patient, cardiopulmonary stability and general clinical condition prior to the initiation of the therapy is an integral part of the HBO treatment.