E&M with surgical code
If a patient presents with a condition such as cellulitis and the treatment is a surgical procedure such as I&D of infected site. Simple I&D no complications. Should a E&M code be used...
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An E/M code is allowed on the day of the decision for surgery.The chart must document a history, exam and MDM.Many insurance companies deny the E/M by saying it is included with the surgery.
View ArticleRe: E&M with surgical code
Thank you Steve. That is what I thought. I wanted to verify that we are coding correctly. I have one payor who is denying all of them. I have my appeal letters all ready to go.
View ArticleRe: E&M with surgical code
CMS allows decision for surgery for major surgery (those with a 90 day global) on the day of or day prior to surgery with a 57 modifier. Procedures with a 0-10 day global (minor surgery) are...
View ArticleRe: E&M with surgical code
The following is from the American College of Emergency Physicians:Surgical Package FAQ FAQ1. How does the deletion of the CPT's starred* procedure concept in 2005 alter the definition of the surgical...
View ArticleRe: E&M with surgical code
I agree... we do cardiac catheterizations which have 0 global. This is one of those exceptions. Technically it is not surgery but with this issue it follows surgery rules but still must adhere to...
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