Do services usually included in E/M warrant a dedicated E/M charge alongside a procedure?

[Darren Conroy]

Some services (such as a blood pressure check or a screening pap collection) are typically considered to be included in the E/M service, and shouldn't be billed separately when the patient is there for an office visit.

However, what about cases where they happen alongside a procedure code (for example, a pap collection with an IUD replacement, or a blood pressure check with a flu shot administration)? Part of my gut says "every procedure code includes E/M services pertinent to that procedure, and shouldn't be billed separately unless it's separately identifiable", but the other part wonders if they are separately identifiable, since they're only so relevant to the procedure being performed?

Have tried researching an answer for this for years and haven't found anything, was wondering what people's experiences have been.

 

[Orthocoderpgu]

In order to bill an E/M you must have a CC, History, Exam, MDM. For the examples your giving there would not be enough to bill out an E/M. And you care correct, every surgical procedure has a built in E/M. There's more but I'll stop there for now. Learning coding is like building a wall or house, one brick at a time.