Reader Question: Don't Bundle E/M and X-ray

Why This Topic Matters

Articles like this help reduce avoidable claim errors in same-day office visits that include both evaluation and diagnostic imaging. Understanding the general scope of this guidance can help practices review when additional reporting elements may or may not be considered necessary by payers.

Article Sections

1. Question

   Presents a billing scenario involving an established patient, an office evaluation and management visit, and a same-day hip X-ray performed in the surgeon’s office.

2. Answer

   Summarizes the general coding treatment of the two services and identifies the code sets discussed in the response.

3. No modifier 25?

   Discusses payer conventions around same-day reporting and broader considerations for whether an additional E/M modifier may be expected.