tfischer
Guru
If a physician documents an evaluation and management encounter, and also does a procedure on that same day in the office, does the procedure have to be separately documented? I have a physician that always documents the procedure within the E/M documentation.
Palmetto says, "If a surgical or invasive diagnostic procedure is performed at the time of the E/M encounter, the specific procedure should be documented."
Palmetto doesn't specifically say that the procedure has to be separately documented. It only says documented.
Can I get any one elses thoughts on this?
Thanks!!
Palmetto says, "If a surgical or invasive diagnostic procedure is performed at the time of the E/M encounter, the specific procedure should be documented."
Palmetto doesn't specifically say that the procedure has to be separately documented. It only says documented.
Can I get any one elses thoughts on this?
Thanks!!