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Wiki E/M Visit w/ Colonoscopy / EGD inpt same day - coding hospital

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pscar

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We have physicians and PA's that see pts inpatient for and E/M. they are sending me notes for subsequesnt visit and procedure( colo or egd) on the same day. I am confused at to what modifier to use or if I can even charge and e/m visit. We have been debating this in our office and I need some clarification. for Example pt had consult on 6-28-14 subsequent visit on 6-29-14 and on 6-30-14. Dr. also performed a colonoscopy on pt 6-30-14. Previous coder in our office did not use -57 at all to my knowledge and may have used -25. I am new to coding hospital visit and procedures. Any help is greatly appreciated.
 
I would like to point out that modifier 57 would be inappropriate because this is used for major procedures (90 day global). The colonoscopy carries a 0 day global. If documentation supports, you may bill an E/M on the same day with modifier 25.
 
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