Medicare Compliance & Reimbursement - 2018 Issue 8
Reader Question: Code for E/M on Patient Return for CMG Results
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Article Overview
This reader Q&A addresses follow-up billing considerations after a urodynamics cystometrogram and related voiding pressure study. It explains the general circumstances in which a return visit may be considered separately billable versus when the encounter is tied only to the prior test, and it is most relevant to coders, billers, and practice staff working with urology or related diagnostic services.
Why This Topic Matters
Follow-up visits after diagnostic testing can create uncertainty about whether a separate office service should be reported. This article helps coding and billing staff understand the scope of the visit in relation to the prior study and the type of documentation context that may affect reporting.
What You Will Learn
- How follow-up visits after urodynamics testing are discussed in relation to office billing
- The difference between a return visit tied to test results and a visit that addresses a separate new issue
- The general factors that make a later face-to-face service relevant to evaluation and management reporting
- How this topic applies to urology-related diagnostic testing workflows
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Urology practice staff
- Physician office staff
Codes Discussed
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