Wiki E/M instead of Cast Removal?

Diana2032

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Succasunna, New Jersey
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Good morning,

If my provider places a cast and the patient returns within a week or so for cast removal; can my provider bill for an E/M? I know that the removal of the cast is inclusive because he placed the cast, but I feel like he should be able to bill for the E/M when the pt returns because to determine that the pt needs no further treatment he needs to evaluated the pt thus an E/M is separately reportable. Thoughts?
 
I agree with Pam. Especially if this is a "scheduled" or planned cast removal. If all that is being performed is a scheduled cast removal, an E/M of any kind would not be supported. Remember that medical necessity is the foundation for any code being billed. And any billable E/M should have supported History, Exam & MDM. Medical necessity should support all three key components.
 
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