Needing Help:
I'm trying to find current documentation that states whether or not a an E/M is needed on EVERY encounter in Urgent care? I am conflicted w/ this because the documentation isn't backing up the -25 rule. Our doctors aren't doing complete work up then... managing a separately identifiable problem. Please help!! If you'd need an example:
John Smith comes into UC for broken leg. Doctor sends patient to x-ray, applies strapping and gives a pain med. ROS/PE are pertaining to the leg.
Would a E/M be given with a -25 modifier, because of the office setting?
Documentation would help a great deal, can you please point me in the direction I am needing.