tci Part B Insider - 2003 Issue 22

Coding: Two E/M Services, Two Visits - One Claim?

When is it OK to combine two E/M services into one? Nothing is more confusing than dealing with multiple visits on the same day. If a patient comes in in the morning and then returns in the afternoon, seeing two different physicians in your group, then it's hard to know how to code for it.   Experts tell PBI that it's possible to combine two E/M services performed by different physicians on the same day. If both physicians see the same patient for two different diagnoses, they can bill for separate E/M visits and use modifier -25 (Significant, separately...

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