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Patient seen for two different issues

  1. #1
    Default Patient seen for two different issues
    Medical Coding Books
    Patient is seen for two different issues. One is work related and the other is not work related. Can we bill an E&M to the Work Comp Insurance Carrier and another E&M to the Commercial Insurance. I think the patient needs to be seen on two separate days. I may be wrong. I need some feedback and/or references. Thank you.
    Norma Rodriguez, CPC

  2. #2
    Duluth, Minnesota
    yes, you can bill both - Work Comp for the comp stuff and regular insurance for the other. No modifier needed on either of the E/M's. I would STRONGLY suggest TWO separate notes for the services so that documentation can stand alone for each service provided!!! However, you can score it out (one note/documentation) and figure out each level each problem supports.

    but the answer is yes - you can (and no, they don't have to be seen on two different days).
    Donna, CPC, CPC-H

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