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E/M prior to surgery

Sandra Posted Thu 01st of April, 2010 15:27:03 PM

Patient is seen by Dr Jones & the decision is made for surgery. A change is made in the provider treating the patient to Dr. Smith. Can Dr. Smith bill an E/M code even though the surgery is already scheduled?

SuperCoder Answered Thu 01st of April, 2010 16:08:10 PM

When Dr. Smith is a different physician and providing some level of E/M service to the patient at pre-Sx stage, you can bill for his visit. Only point to remember is that he should have documented the change in Dx (or Tx plan, whatever) clearly.

Sandra Posted Thu 01st of April, 2010 18:01:55 PM

And if the dx/tx is the same? Dr. Smith is now doing the surgery, but has never seen the patient so he does his own exam - can he bill for it?

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