amsmith
Networker
I have an MD that is questioning why he can not bill an E&M consult and a procedure. He is part of our procedure team and he is simply called in to do the procedure. He feels he should be able to bill for the consult with a modifier 25 because he has to do his own personal evaluation of the patient before he can do the procedure. I explained that his payment for his evaluation is included in the procedure and the rules of using the modifier 25. He wants proof that the procedure includes his pre-op exam. Any suggestions?
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