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86580 with E&M?

  1. #1
    Exclamation 86580 with E&M?
    Medical Coding Books
    I was trying to get some information on the following visit scenario (for Medical Director to reconsider the billing policy):
    ?Doctor sees a patient for PPD only. No ROS, no Exam, no MDM. Dx: 74.1? I believe we should bill with 86580 only. Doctor uses 86580 along with E&M code 99211 (as an indicator of a visit)?
    Please advise on coding that, and, maybe, send some references, if you have any? I would greatly appreciate that! Thanks!

  2. #2
    With no MDM, exam or ROS, I wouldn't code it period.

  3. #3
    Quote Originally Posted by BenCrocker View Post
    With no MDM, exam or ROS, I wouldn't code it period.
    Any references to support my words? They do not wish to hear!

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