tci Part B Insider - 2009 Issue 28

READER QUESTION: OK if Hospital/Physician E/Ms Don't Match

Plus: Many cath removals are included in E/M service. Question: If the physician performs tube or catheter removals in a hospital exam room, should I include this as part of the E/M, or is there a more appropriate CPT code? If E/M is appropriate, should the hospital also report an E/M? If so, do the physician and hospital E/M codes need to match? Answer: You should include tube and cath removal as part of the E/M service. Often, follow-up visits will be lower-level (such as 99212, Office or other outpatient visit ...). Inpatient E/M codes would be appropriate in...

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