If the appointment is scheduled as an injection, then that is all they should be charging. Inflating the documentation to try and get reimbursement for an E/M is simply bad business...most would even view it as fraud. I certainly do. Once the decision to proceed with the injection is made and the patient then schedules for the injection on a different date, there is no billable E/M. Keep in mind that all procedures do have pre procedure values to them based on the RVU system, which would be the E/M for that service unless there is a significant separately identifiable E/M service provided on the same date.
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