combining documentation from 2 E/M on same DOS

Lkimsey

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I have an OB/GYN who saw a patient in the office with elevated Blood Sugar and admitted her to the hospital. He went back on 2 separate occasions and saw this patient, duplicating some of the exam elements. Now I know that you are to combine the visits and code the E/M based on the documentation. My problem is do you count the two exams twice or only once? Can someone out there help me? Thanks, Lynn Kimsey, CPC
 

Erica1217

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If you counted them twice, that wouldn't really do anything to your E&M level.... vitals are vitals and you don't get any "extra credit" anywhere in the exam elements for doing them twice.

:) Erica
 

Lkimsey

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OK, that is what we were thinking but you know how you start to doubt yourself when you overthink something. Thanks for the response. Lynn
 
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