Wiki Same group/2 APPs/2 E/M visits on same DOS

[ttompsett]

We have a scenario where 2 different APPs are providing E/M services to the same patient on the same day, ex: APP 1 sees patient in morning for consultation. APP 1 leaves for the day so APP 2 follows-up that evening to follow up on additional imaging, explain an additional procedure and measure a cardiac index. Since we can only bill one E/M service per day, can we combine the two visits for billing? And who would it be billed under- APP 1 or APP 2?

 

[thomas7331]

Yes, you will have to combine the visits. I would bill it under the provider who performed more of the work, although it doesn't really make any difference because the payment will be going to the practice, not to the individual.