Is E&M billable prior to portacath?

landv

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What are the opinions about billing an E&M for a pt that was scheduled for a portacath placement. The Onc office referred a new pt, we didn't see them in the office, we just scheduled the port to be placed. Can an E&M be billed with my surgical code? Can the Mod 25 be used in this senario? HELP... Thanks.
 
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You didn't see patient before taking to OR?

So you took the patient straight to the OR without seeing him/her?

Every procedure includes as part of the reimbursement the appropriate pre-operative evaluation.

If all that was done was the limited exam that would be inclusive to placing the port, then all you code is the procedure.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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