Needing a little clarification. Have three scenarios but pretty much the same situation and needing to confirm proper coding.
Est Pt comes in for visit after being seen in ER. Pt was told arm was fractured. Progress notes only include indication of fracture with cast in place but review of systems, past medical and social history was obtained. Is an additional E&M service billable or just fracture treatment? According to understanding from NCCI guidelines no E&M in additional to fracture treatment would be billable due to no additional information to support or a separate problem other then the fracture is documented, correct?
Est Pt comes in for visit due to bump on back of head getting larger. Review of Systems and Medical/Social history is obtained. Progress note confirms sebaceous cyst noting pt prepped and draped in sterile fashion for cyst removal. Is additional E&M billable or just excision of lesion?
Est Pt comes in for visit after being seen in er due to fell on floor and hit arm. Review of Systems and Medical/Social history was obtained. Progress notes state swelling with xray done to confirm fracture and splint applied.
Separate E&M billable or just treatment of fracture?
Looking for confirmation based on obtaining guidelines from CMS but there has been discussion regarding accuracy of this so wanting any feedback would be appreciated.
Est Pt comes in for visit after being seen in ER. Pt was told arm was fractured. Progress notes only include indication of fracture with cast in place but review of systems, past medical and social history was obtained. Is an additional E&M service billable or just fracture treatment? According to understanding from NCCI guidelines no E&M in additional to fracture treatment would be billable due to no additional information to support or a separate problem other then the fracture is documented, correct?
Est Pt comes in for visit due to bump on back of head getting larger. Review of Systems and Medical/Social history is obtained. Progress note confirms sebaceous cyst noting pt prepped and draped in sterile fashion for cyst removal. Is additional E&M billable or just excision of lesion?
Est Pt comes in for visit after being seen in er due to fell on floor and hit arm. Review of Systems and Medical/Social history was obtained. Progress notes state swelling with xray done to confirm fracture and splint applied.
Separate E&M billable or just treatment of fracture?
Looking for confirmation based on obtaining guidelines from CMS but there has been discussion regarding accuracy of this so wanting any feedback would be appreciated.