Wiki Order of test with new E/M guidelines

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Christal

Networker
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38
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Cookeville, Tennessee
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If a provider orders a test and the patient comes back in a week for the test. Can we count the order of the test on the initial E/M visit, if we bill a CPT code for the test on the testing day? Ex: is patient needs allergy test saw provider, test was ordered for 1 week later, because the patient was taking antihistamines.
 
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Unfortunately, no... , you cannot count it at all in the MDM if you are billing for it. No double dipping :) Now, on the other hand , if you are NOT billing for the allergy test, you can count it in the MDM as test ordered on the encounter day.
 
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lcolborn said:
Unfortunately, no... , you cannot count it at all in the MDM if you are billing for it. No double dipping :) Now, on the other hand , if you are NOT billing for the allergy test, you can count it in the MDM as test ordered on the encounter day.
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On the encounter day we will not be billing the test because medications taken so therefore we bring the patient back another day to perform the test.
 
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Christal said:
On the encounter day we will not be billing the test because medications taken so therefore we bring the patient back another day to perform the test.
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Even if the test is performed on another day my understanding is it still can’t be counted towards medical decision making if you will be billing for the test.
 
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That's correct. Anytime you are billing for a test , no matter what day it was performed, it still cannot count in the MDM.
 
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