• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki scopes w/ new pt visit

Create Wiki
sundaey

sundaey

Guest
Messages
68
Location
Las Vegas, NV
Best answers
0
We have an ENT doc that scopes every new pt that walks in the door. Can you bill for both the scope and the new pt visit with a -25?
I dont think that he should get both b/c it's not significant or separately identifiable/nor is it above and beyond the normal scope for him, however, my boss doesn't agree.

I would appreciate any feedback.
 
If your ENT provider is only documenting the scope procedure, then you are correct no New Patient Visit should be billed in addition to.

However, if the ENT provider is documenting ALL 3 components of a New Patient Visit: History, Exam & Medical Decision Making, AND the scope procedure, you may bill for both. Don't forget the 25 modifier on the E/M.

Documentation is key, especially the medical decision making!
E. Frohna
 
You must log in or register to reply here.
Top