READER QUESTIONS: Include Evaluation With Scheduled Procedure

Article Overview

This reader question addresses billing and coding considerations for a surgeon-patient encounter that leads to a scheduled breast biopsy performed on a later date. It focuses on the relationship between a prior evaluation, the day-of-procedure reassessment, and whether a separate evaluation and management service is reported with the procedure. The article is relevant to professional coders, billers, and physician practices seeking general guidance on evaluation and procedure reporting under CPT and CMS concepts.