AAPC - Back to school
Results 1 to 2 of 2

Thread: E/M Billing Sequence

  1. #1

    Default E/M Billing Sequence

    AAPC: Back to School
    Does anybody have any documentation that states when you bill out an office visit with a knee injection, you have to list the E/M code first regardless of the RVU amounts? We have always billed in the order of highest RVU's down to lowest RVU's and now we are told that the E/M gets billed first, no matter what.

  2. #2
    Join Date
    Apr 2007
    Fayetteville, NC


    I would ask first, who is telling you this?

    In my experience, procedures and E/M charges are considered separately, so whether it is first or last on the claim really does not matter. I have seen situations where the E/M was billed on a completely different claim, and on the same claim, in every number of positions like first, middle, last- really I have never seen a difference.

    As far as documentation, I don't know of any- this is just my own experience. How about asking this person to show YOU documentation stating to always bill the E/M code first. I have never heard of that officially- it sounds like it may be this person's personal preference.

Similar Threads

  1. Diabetes sequence?
    By NJcoder in forum Diagnosis Coding
    Replies: 4
    Last Post: 09-05-2013, 01:05 PM
  2. sequence
    By sbarrila in forum Diagnosis Coding
    Replies: 1
    Last Post: 03-31-2011, 12:14 AM
  3. Dx sequence help
    By Trendale in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-09-2009, 02:47 PM
  4. sequence of dx for encounter
    By Trendale in forum E/M
    Replies: 0
    Last Post: 07-09-2009, 01:47 PM
  5. RVU sequence
    By lec121661 in forum E/M
    Replies: 0
    Last Post: 04-12-2009, 05:29 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.