tci E/M Coding Alert - 2016 Issue 12

You Be the Coder: Coding E/Ms That End in Nursing Care

Question: An 86-year-old established patient with worsening dementia due to early-onset Alzheimer’s disease reported tothe physician for a medication checkup. During the office visit, the physician decided that the patient needed immediate nursing facility care to deal with his dementia, which was marked with several behavioral disturbances. Notes indicate that the physician performed an office E/M service before admitting the patient to the nursing facility on the same day. Can I report an office E/M code in addition to the nursing facility admissioncode? California Subscriber Answer: You cannot report an office E/M code on the same date of...

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