Infertility question
I am an auditor and working on an Infertility specialist.
When a patient is on Clomid, at some point in the cycle she will need to come in every day or so to monitor the follicle 'readiness'. Doc bills the correct code, 76857. However, she also bills a 99213-25 each and every time. She claims it's the 'counseling' but the note basically states either come back in 2 days, or 'inject xyz daily, or 'retrieval scheduled for mm/dd/yy. To me, all of these things should be included as the post-work of the test. She notes an exam, but I doubt that she is doing one each time, it's a template. Even if she was doing a very limited pelvic exam, I still don't see billing an E/M for a pre-scheduled ultrasound every other day. Thoughts? tx.