kjstearns
Guru
We are having a debate in our clinic about this. A patient is seen and the doctor tells them to follow up next week for their first Orthovisc injection. The doctor's believe that at that follow-up visit, they can charge for an E/M as well as the injection. My concern is where is the medical necessity to justify the E/M? My understanding was that if an injection is pre-planned and that is the only reason the patient is coming back in, then an E/M is not billable. The doctors seem to think they can get around this by stating "patient returns for further discussion and after discussing the options, have decided to go forth with their first injection".
Any input would be GREATLY appreciated!!
Any input would be GREATLY appreciated!!
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