Part B Insider - 2013 Issue 5
Reader Question: Include Phone Work in Next E/M Code
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Article Overview
This article addresses a coding and billing question involving office-based review of test results, telephone communication with caregivers, and ordering additional testing and medication changes for nursing facility patients. It explains the general billing issue for physician and nursing services, discusses why a face-to-face encounter matters, and notes how related pre- and post-service work may be considered in connection with future evaluation and management services. The article is relevant to oncology, nursing facility care, and professionals working with E/M coding and incident-to billing concepts.
Why This Topic Matters
It helps coders and billing staff understand when remote work may or may not be separately reportable and how that work may relate to later E/M services.
What You Will Learn
- How the article frames billing questions involving telephone-based medical review and ordering work
- How the discussion relates to physician services, nursing services, and incident-to billing
- How related work may be considered in connection with subsequent nursing facility E/M services
- Which broad E/M service category is referenced in the example
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physicians
- Oncology practices
- Nursing facility billers
Codes Discussed
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