tci General Surgery Coding Alert - 2000 Issue 9

Billing for E/M on the Same Day as Procedure is Not Affected by Number of Diagnoses

Some general surgeons and coders are uncertain about whether and when to bill a visit on the same day as a procedure, for example, when the procedure and visit both relate to the same problem. In practice, this often means that two different diagnosis codes should be used and that a single diagnosis code is appropriate only if the diagnosis is a sign or symptom that is not repaired or identified by the ensuing procedure.The underlying issue, however, should not be the second diagnosis. The number of diagnoses is not the determining factor, says Kathy Pride, CPC, CCS-P...

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