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Wiki Two E/M visits billed for same DOS?

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kcouncil

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Good Afternoon

This is the scenario...

A patient came in for an INR check with the nurse in the morning. The medication needed to be adjusted so the NP billed the visit with a 99212 and 85610. Later that afternoon the patient came back to see a different provider for hip pain. That visit was billed with 99212. How would I bill these two office visits? They were completed on the same day but for non-related reasons.

Thank you all for your responses!
 
Are the providers from the same specialty and the same group practice? Example: two E/M services are provided to the same patient during the same day by either the same physician or two physicians of the same specialty in the same group practice.

[h=5]Coding[/h]In these rare cases, the two E/M services should be added together and reported as a single visit.
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[h=5]Rationale[/h]Do not use modifier 25 in this situation, according to the Medicare Carriers Manual
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