there guidelines are (they are written somewhere) that if the injection is scheduled as such, then the E/M is considered an integral part of the procedure.
The exception to this would be, patient is scheduled for a Synvisc injection in his left knee, but he slept on his shoulder wrong last night and wants the doctor to take a look at it while hes there. Then you have documentation to support the billing of the E/M.
Hope this helps..if anyone has those guidelines to post (Rebecca?? lol) that would be awesome.
Mary, CPC, COSC
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