Technically a consultation should not require a modifier simply because of the nature of the service. In reality, there are several payers that do require it to be appended to the E&M code when it is reported on the same date as a procedure/diagnostic test, etc.
I would be more concerned that the E&M service actually meets the criteria to be reported with a consultation code.
For example, a family medicine provider requests a diagnostic test from a specialist via an order for an EMG study and instead the specialist bills a consult in addition to the diagnostic test. In this scenario there is no request for a consultation so it would be wrong to report a consultation. Part of the EMG service is to issue a report which contains the findings and recommendations. A consult is designed to provide similar information. For this reason it seems unacceptable to bill for an EMG and a consultation the same evaluation. Of course there are always exceptions and based on what information you provided, my educated â€śopinionâ€ť is that the provider should not report a consultation and an EMG at the same time. I am pasting the link to an interesting article regarding EMG documentation and reporting. I hope it is helpful.
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