tci E/M Coding Alert - 2022 Issue Q2

Reader Questions: Determine Reason for Visit When Deciding if E/M Code is Appropriate

Question: Our office manager wants to charge for an office/outpatient evaluation and management (E/M) visit, as well as a destruction code for removing a patient’s warts. But can you charge for the E/M if the visit is only for the destruction? AAPC Forum Participant Answer: Coding for the procedure and the E/M always depends on the circumstances of the encounter. Consider the following scenarios, then apply them to your own circumstances to decide. Scenario 1: An established patient arrives at your office with four warts behind their left ear that need to be removed. The physician examines the...

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