tci General Surgery Coding Alert - 2016 Issue 2

Reader Question: Beware E/M on Vascular Surgery Date

Question: Our surgeon performed an endovenous radiofrequency ablation procedure three days after seeing the patient and making the decision for surgery. On the day of the procedure, the physician submitted to me an H&P (history and physical) for an established outpatient visit. I thought that the procedure itself includes a pre-procedure H&P to confirm that the test is necessary and there are no contraindications. Can I separately bill this H&P on the same day as 36475? Ohio Subscriber Answer: You’re correct that you should not report the related H&P on the same day as...

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