nugen68
Contributor
If a patient presents to ER and needs urgent Heart Cath after the procedure the provider dictates H&P and/or Consult can you bill E/M code after the procedure was done using Modifier 25?
Thanks
Thanks
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Modifier 25
- Thread starter nugen68
- Start date
These are the tough questions that basically come down to the documentation on medical records. To be able to use modifier 25 the services between the E&M and the procedure must be significant and separately identifiable. So basically the E&M would need to be above and beyond the evaluation or management that would normally be required for the pre/post and procedure administered.
Based on previous history, in an ER Department situation there is often a justifiable reason for both, but again it all comes down to how the information is documented.
Based on previous history, in an ER Department situation there is often a justifiable reason for both, but again it all comes down to how the information is documented.
nugen68
Contributor
Thank you