I am looking for some sort of reference that confirms the need to complete a SEPARATE procedure note when billing and E/M code w/ 25 modifier plus a procedure code on the same date of service.
Example:
Patient seen for ENT eval coded 99203 - 25 AND has a flexible bronch and coded 31575.
My provider(s) are adamant that they can bill as above and have the procedure note be within the E/M note for the visit.
My understanding that if you are billing for a "significant and separately identifiable procedure " that you need a "separately identifiable" note.
Seeing is believing so I am looking for some help on this; I of course have the text from the Modifier description in the CPT book, anything else out there?
Thanks in advance!
Example:
Patient seen for ENT eval coded 99203 - 25 AND has a flexible bronch and coded 31575.
My provider(s) are adamant that they can bill as above and have the procedure note be within the E/M note for the visit.
My understanding that if you are billing for a "significant and separately identifiable procedure " that you need a "separately identifiable" note.
Seeing is believing so I am looking for some help on this; I of course have the text from the Modifier description in the CPT book, anything else out there?
Thanks in advance!