Abbi Schoenhofer
Contributor
Okay... I'm beating my head against the wall here. Hoping anyone out there can help! I am getting two completely different views on this subject everywhere I turn. Here is the scenario:
Patient presents for a consultation with surgical specialist for Hemorrhoids and Rectal Fistula. The dictation is a FULL evaluation and management visit, and during the exam, "Fiberoptic anoscopy was performed, scar tissue and hypertrophy papilla were seen."
To bill separate procedure or not? Here is the question: Do you bill a New patient visit(or consult if non medicare) with a modifier -25, and bill the 46600 for the anoscope procedure, OR is this procedure content to the E/M?
I've had several say it's content to the E/M, and other say no... it's separately identifiable. Any help would be so appreciated!
Patient presents for a consultation with surgical specialist for Hemorrhoids and Rectal Fistula. The dictation is a FULL evaluation and management visit, and during the exam, "Fiberoptic anoscopy was performed, scar tissue and hypertrophy papilla were seen."
To bill separate procedure or not? Here is the question: Do you bill a New patient visit(or consult if non medicare) with a modifier -25, and bill the 46600 for the anoscope procedure, OR is this procedure content to the E/M?
I've had several say it's content to the E/M, and other say no... it's separately identifiable. Any help would be so appreciated!