tci E/M Coding Alert - 2018 Issue 3
Reader Question: Evaluate Global Days, Modify E/M Services Correctly
Question: A patient presents for an evaluation and management (E/M) visit two-weeks following a septoplasty for a severe deviated septum. After a brief exam, the surgeon diagnoses the patient with postoperative septal abscess and prescribes the patient with an antibiotic. A follow up appointment is scheduled for one week. Can the provider bill out for this E/M visit for this Medicare patient? Texas Subscriber Answer: In this scenario, you may not bill for the E/M visit if the patient is presenting with symptoms related to the surgery. Since procedure 30520 (Septoplasty or submucous resection, with or without cartilage scoring...
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