Results 1 to 3 of 3

multiple E/M

  1. Default multiple E/M
    Exam Training Packages
    I work in a hospital outpatient department. The clinic and infusion site are in the same building, however the clinic operates under two umbrellas-hospital and their main clinic. The infusion side is hospital.
    My scenario is this...have a patient who is seen in the clinic by one physician, the patient is then sent over to the infusion side to receive chemo, has a reaction, and then the NP is called over by one of the infusion nurses to evaluate. Both the doctor and NP documented their visits with the patient. I have been informed we are unable to charge two clinic visits on the same day, but I feel we are missing charges in situations such as this.

  2. #2
    Columbia, MO
    The outpatient facility may indeed charge mutiple E&M encounters on the same day, you will need a 27 modifier on the second and subsequent E&M and if you have more than one in the same revenue center on the same day then you nned a G0 condition code. also if one E&M needs a 25 modifier then they all need a 25 modifier regardless of where the procedure was performed, so if you do infusions then all E&Ms on the claim need a 25 modifier and the second and subsequent will need a 27 as well.
    Do not confuse physician billing with facility on this issue as the rules and dos and don'ts are different.

    Debra A. Mitchell, MSPH, CPC-H

  3. Default 2 Office encounters
    Each provider would have to document their time (not necessarily based on counseling and coordinationof care.....just a time statement). Then the time can be combined and one of them can bill with a prolonged service code if the total time is greater than 30 minutes of the level billed.
    Otherwise you're out.

Similar Threads

  1. Modifiers with multiple specimens with multiple IHC stains
    By ColqPath in forum Pathology & Clinical Laboratory
    Replies: 10
    Last Post: 05-09-2014, 03:43 PM
  2. Coding Multiple Procedures on Multiple Digits
    By in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 01-02-2014, 08:43 PM
  3. Coding Multiple Procedures on Multiple Digits
    By in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 01-01-2014, 12:34 PM
  4. Multiple lipomas
    By trinalankford in forum General Surgery
    Replies: 5
    Last Post: 03-09-2012, 04:19 PM
  5. Help.... Multiple Issues
    By morgan6 in forum Plastic Surgery
    Replies: 1
    Last Post: 03-31-2009, 03:28 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.