Transition of Pediatric care to adult care E/M?

kimgiz

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Transition of Care services are provided when the pediatric patient needs to transition their care to adult providers. The question is pertaining to billing, typically the physician helping with the transition will bill an E/M code--time based however as there is no diagnoses being treated the question has arose that there is no medical necessity for this service.

wondering if anyone working at a children's hospital is aware if their facility provides this specialty service and if so is an E/M being submitted. Has their been any denials for medical necessity.

appreciate any advice.

thanks
Kim
 
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