EM's with Procedures

Looking for input on if other facilities are billing EM's with procedures when the provider does an independent interpretation or review of an x-ray, ultrasound, CT, MRI in conjunction with the procedure on the same day. We have some auditors saying that it would be included in the procedure as reviewing/interpretating the image leads to the plan of care while other auditors are saying that would be separately billable.

Hi, could you give some more detail? If the patient came in with a complaint like knee pain and the provider decides to perform a procedure after a full E/M visit (that included image interp), then that could support a separate E/M. But if the patient came in for a procedure and the provider just looks at some images as a final check before the procedure, that's not an E/M visit.

It depends on the documentation and the specifics of the encounter. Do you have an example? If billing a code where the code description includes interpretation and report for example, the provider does not then get an additional E/M for interpreting or the report. When you say facilities, are you talking about pro fee/outpatient coding or facility coding?
If in the office setting, if documentation meets the requirements to report an E/M, and there was an XR ordered and performed in house and provider did the interp. they get credit for the E/M and bill the 7XXXX code separately. But it does not sound like that's what you are asking about. We are a little confused about the specifics of the question.
Are you asking about things like US & CT guided injections, etc.? As in, 76942, 77012 or 20611? They don't get a separate E/M for that. If anyone is saying that it is a bit off track.