Neurology & Pain Management Coding Alert

Question: I had patients see two physicians on the same day. May I submit an E/M code for both physicians? Nevada Subscriber Answer: It depends on the physicians specialties. If two physicians in the same specialty and same practice see a patient on the same day, you will likely get denials if you report an E/M service for each provider .Most payers limit your options to one E/M service per day per specialty in the same group practice. Exception: You may report two E/M services for one patient on the same day if the patient sees two of your physicians who have different specialties. If two physicians in the same multispecialty group with different specialties, such as neurology and cardiology, see a patient on the same day for diagnosis and/or treatment of different conditions, you should be compensated for both services. Example: A patient sees her primary care provider, a [...]