Multiple ER visits

cpccoder2008

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is a patient comes in the ER multiple times on the same date, same dx, but seen by different physicians.. should i use a modifier with the E/M visit ?? also, what is they came in, had a procedure, went home, came back because of complications, and was seen again, then admitted,, would i bill the first Er visit, low level second visit, or post op ?? i think im starting to confuse myself,, :eek:
 

Cpcnext

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multi-visits

At the hospital where I work we add a 27 modifer to the EM level code and also a GO condition code for the visits.

Hope this helps.
 
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