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EM Coding Alert

E/M Coding:

Expect Denial When Reporting 2 E/M Services on Same DOS

Published on Tue May 13, 2025

Question: One of our physicians saw a patient in the morning, and then again in the afternoon after they started exhibiting new symptoms they found concerning. Can I bill for two evaluation and management (E/M) services since the physician saw the patient two separate times? Pennsylvania Subscriber Answer: According to Medicare Administrative Contractor (MAC) Novitas Solutions, a provider could bill [...]
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