tci E/M Coding Alert - 2014 Issue 7

Reader Question: Tread Carefully When Coding Follow-up Visits

Question: I read your article titled “Consider the Facts to Determine Fracture Care or a Possible E/M” in the Vol. 2, No. 6 issue and wondered if I can code a separate follow-up care with a fracture code? California Subscriber Answer: Just because a fracture code may include follow-up care doesn’t mean that you won’t ever report a code for follow-up visits separate from a fracture code. Be sure to carefully look at the reason the patient presents for the visit. If the E/M service during the global period relates to the original procedure making it...

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