ollielooya
True Blue
Our specialty practice has a patient with a commercial insurance who comes in regularly (sometimes twice a week) for treatments of acute persistent headaches, which usually consist of injections and/or infusions depending on dr.'s assessment. The charges are always posted with an E/M and although there is the initial physicial evaluation I'm wondering if continuing to charge these E/M services is really acceptable. One of our valued list members had cautioned us about this and I understand if the patient comes in to get the injections specifically, then the E/M most likely would NOT be billable, but these acute situations are occuring quite regularly along with exacerbating issues. WHAT specificially triggers that we should stop billing the E/M visits?---Suzanne E. Byrum, CPC