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Wiki Does 12002 include the E & M code

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Leedham

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Does CPT 12002 already included the E & M code? In what I can find it appears that only the 12002 should be billed and not 99201 and 12002??

Thanks for your help,

Sharmon
 
Leedham said:
Does CPT 12002 already included the E & M code? In what I can find it appears that only the 12002 should be billed and not 99201 and 12002??

Thanks for your help,

Sharmon
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If documentation shows that the decision for surgery was made, subesequent to the E/M, and during the same visit (especially for a new patient), you should be able to justify billing both. There's no NCCI edit listing E/M codes as incidental or mutually exclusive to 12002, but most payers require a 25 modifier on the E/M. Hope that helps!
 
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