Wiki Follicle Monitoring with E/M Office Visit

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bolsen01

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When a patient is being monitored for follicles during an IVF cycle, they may need to come in every day for a few days. I have a doc who bills a 99213 each and every time. She wants to put a time statement in to show her counseling, but wouldn't changing meds, or telling her to come back in a few days be included in the 76857?
 
It is not appropriate to bill for the e/m if the doctor is not hitting the bullets for the 99213 each visit. The 76857 should be the only thing billed and then any blood work being done in conjunction with the ultrasound.
 
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