becka95
Networker
I have an outpatient wound care clinic that we are in a tug of war over coding. Unfortunately, I am having a hard time finding solid, clear resources to reference.
When that patient comes into the clinic for a wound care follow up and the Dr orders an application of a multilayer wrap, can the Dr bill an E&M plus the application of the wrap? I am under the impression that if he doesn't note that he supervised or personally put on the wrap then you can't. This is the same for wound Vacs and unna boots.
I currently code for the facility side except for this one. I know that 29581, 29580 and 97605-06 are on the physician fee schedule but don't they have to document this? The hospital who does the Dr billing states that they can bill it for the Dr because he wrote the order.
The hospital coders want all the CPT's to mirror each other (facility and professional) and I explained to them that this is not always possible because a facility E&M is calculated differently then a professional E&M.
So in addition to my above question about billing for the dressings for the Dr without documentation that he supervised, does anyone have any links or references that they can share? I would greatly appreciate it!
When that patient comes into the clinic for a wound care follow up and the Dr orders an application of a multilayer wrap, can the Dr bill an E&M plus the application of the wrap? I am under the impression that if he doesn't note that he supervised or personally put on the wrap then you can't. This is the same for wound Vacs and unna boots.
I currently code for the facility side except for this one. I know that 29581, 29580 and 97605-06 are on the physician fee schedule but don't they have to document this? The hospital who does the Dr billing states that they can bill it for the Dr because he wrote the order.
The hospital coders want all the CPT's to mirror each other (facility and professional) and I explained to them that this is not always possible because a facility E&M is calculated differently then a professional E&M.
So in addition to my above question about billing for the dressings for the Dr without documentation that he supervised, does anyone have any links or references that they can share? I would greatly appreciate it!