tammyboyer
Networker
Pt comes in for IV hydration procedure for the first time at an urgent care center. The patient is scheduled to come back weekly for IV hydration for five weeks. I told my provider he can only charge an E&M with the hydration procedure the first day and he could not charge for an office visit for all the upcoming hydrations because they are "preplanned" and scheduled ahead. The only way we could code an E&M with those repeat hydrations was if there was a change or pt has a complaint. He does not agree with me and needs me to prove it. I know i read somewhere from the AMA the rule to go by when you are doing "preplanned" procedures. Can anyone help me find that rule that tells us we cannot charge for an office visits when the procedure is preplanned? This patient in particular has Carefirst insurance. any help appreciated.