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Thread: E/M in hospital

  1. #1

    Default E/M in hospital

    AAPC: Back to School
    Pt was scheduled for surgery today, unfortunately this morning, he has complained of calf pain which he has had for several days. Dr was not comfortable with his calf pain since this is of new onset. Dr canceled surgery and sent him for a doppler ultrasound.
    Dr did a History, examination, medical decision making in the hospital, Pt was Outpatient. Is there a code I can bill for this????

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Established patient visit

    If patient was outpatient and this is NOT his "admission" to observation ... then you'd use the the established patient visit code.

    If surgery was immediately rescheduled for within a few days, you might wind up needing -24 modifier to satisfy the payer that this was unrelated to the surgery.

    F Tessa Bartels, CPC, CEMC

  3. #3


    Oh, I never used those codes for hospital only office, but by reading in the cpt book, I guess you can. Learn something new everyday.
    Thank you so much,
    Last edited by Bella Cullen; 04-14-2009 at 05:54 AM.

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