Wiki Inpatient twice in one day by two diff MD's

[cnramsey]

Patient was admitted by MD#1 at 8am. MD#2 sees patient at 6:25pm. The only difference in the dx's is MD#2 see's the patient for delirium plus all the other reasons MD#1 say patient for. Is this enough to bill out the visit for MD#2?

Nichole

 

[FTessaBartels]

Same practice / same specialty

If the two physicians are of the same practice and same specialty then NO you cannot bill two E/M services for the same DOS. You will need to combine the work of the two and, according to your practice policy (you DO have a policy in place, I hope) code the combined notes as one E/M service under one of the two physicians.

If they are different practices, or different specialties in the same practice, they can each code an E/M visit.

Hope that helps.

F Tessa Bartels, CPC, CEMC