Struggling with correct guidelines for Trach Management... Please Help!!!!
1) Is it acceptable to bill out an E/M with Trach Management only?
Example, the patient has been coming in once a month for "Trach Management". The physician usually does a tracheobronchoscopy through an establised trach incison- 31615 and almost always bills out an E/M level as well- even though no other reason supports it.
2) 31502 with E/M appropriate?
I read that you can only bill out the E/M if the fistula tract is closed but my physicians want to bill out both... and I don't think that is the appropriate use for 31502.
3) 31502 with E/M appropriate?
My physicians want to bill out 31502 if the tract isn't closed with an E/M as well.
Can someone give me some guidance for these please?
1) Is it acceptable to bill out an E/M with Trach Management only?
Example, the patient has been coming in once a month for "Trach Management". The physician usually does a tracheobronchoscopy through an establised trach incison- 31615 and almost always bills out an E/M level as well- even though no other reason supports it.
2) 31502 with E/M appropriate?
I read that you can only bill out the E/M if the fistula tract is closed but my physicians want to bill out both... and I don't think that is the appropriate use for 31502.
3) 31502 with E/M appropriate?
My physicians want to bill out 31502 if the tract isn't closed with an E/M as well.
Can someone give me some guidance for these please?