E/M amd scheduled procedures in hosp

Robbin109

Expert
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San Diego
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I know if the decision for surgery was made in the office, and the pt is scheduled a few days later,an additional E/M can't be billed the day of surgery. What if the prodecure being done is non-surgical and doesnt have a global period? For example,a cardioversion.
Can a E/M servcie be billed for this outpt procedure when the decsion was made in the offcie (no global period) for this test?

Thanks!
 

LindaEV

Expert
Local Chapter Officer
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Kansas City, MO
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Probably not. What would the medical neccessity be? Is it just a pre-op visit? Even if there is no global period, that "procedure" still has some work value built in for the normal pre-procedure work/visit.
 
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