tci E/M Coding Alert - 2018 Issue 8

Reader Question: Bill Screen, not E/M, in This Prostate Scenario

Question: Is there any way to get paid for an established office visit when a patient comes in for a PSA screening? I know we can’t bill for the PSA that is determined by an outside lab, but I thought we could get some reimbursement. Massachusetts Subscriber Answer: You should report 36415 (Collection of venous blood by venipuncture) if your practitioner only performed a blood draw. If he also performed an office visit for a particular problem during the same encounter, then code the E/M service as well using the appropriate office visit code, such as 99213 (Office...

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