Hopefully I am understanding your scenario correctly.
Doctor provides and E/M service in his office, patient goes across the hall has chemo, something happens and they call the doctor over to re-evaluate the patient.
If your provider is documenting his 2nd visit, this information can be combined with the first visit and the level of service would be based on all the information together.
So if the scheduled visit levels out to a 99213, the doctor goes over sees the patient again and documents a new problem (additional MDM), additional elements of HPI, or additional elements of exam this would be added to the first visit and could put it up to a 99214 or even 99215 depending on what is documented. It won't always bump the level up, so just doing a second visit doesn't give the green light to start upping the levels. These visits need to be re-leveled each time in order to be compliant.
I hope this makes sense,
Laura, CPC, CEMC
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