E/M with a procedure

drtmod40

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Question...I know that to bill a E/M with a procedure the visit has to be distinct from procedure. But I question this........New pt come in to see GYN with irregular bleeding. Provider does COMPLETE work up and gives pt options. One of those options being a endo bx. Pt chooses endo bx. and it is performed at same visit. Can you bill new pt E/M with a 25 mod and a endo bx procedure????
 
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