Wiki Office Visit 2 days in a row same dx-extensive visit

LBernat7

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I need some help we had a new Dr start and she was internal medicine and now a derm so she has a question regarding coding for a patient with an extensive issue that had to come in 2 days in a row.

Pt has extensive (over 80%) of the body erythoderma due to psorisis she saw the patient day 1 for over 40 mins called the lab corrdinated tests called the PCP to coordinate care all of which is noted in the chart. A decision was made to sent pt for lab work stat which was done over night and results back nexr day, she had patient come back in (now visit 2) to go over labs and a decision to start a biologic drug was made. Can she bill and E/M with same DX for two days in a row? Help and advice is apprciated
 
There are no restrictions or limits on how many days must elapse between E&M visits. As long as the services are medically necessary and supported by documentation, it is appropriate to code the second E&M on the next day.
 
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