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Neurosurgery Coding Alert

Reader Questions:

62368 Reprogramming Makes E/M Necessary

Published on Wed Sep 08, 2010

Question: When we have a patient come into the office for reprogramming of a pump implant (62368), would it be appropriate to bill a low level office visit based on reviewing the patient's history, taking the patient's vitals and reviewing any medication changes? We have a case where only the vitals were taken and the reprogramming was done. Normally the doctor will go over any medication changes.Wisconsin SubscriberAnswer: The answer depends on the purpose of the visit. If the patient has been scheduled for the purpose of reprogramming the pump, there are pre-service E/M activities bundled into the re-programming code, including updating history and examination. However, if the patient has another unrelated problem which prompts an E/M service for the unrelated problem or the patient has been scheduled for the purpose of evaluating a problem and it is determined at the time for the visit that reprogramming of the implant [...]
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