We need more detail. Obviously, you need preceptor attestation, but you do have 24 hours to get it by Medicare rules. The preceptor states in his attestation that they have seen & examined the patient....etc. In order to bill the I & D, the preceptor must have been present during the procedure.
Otherwise, you would bill the office visit for that calendar date and H & P (Initial Hospital Care) would be billed the initial day the preceptor sees the patient, the next day.
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