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Inpatient twice in one day by two diff MD's

  1. Default Inpatient twice in one day by two diff MD's
    Medical Coding Books
    Patient was admitted by MD#1 at 8am. MD#2 sees patient at 6:25pm. The only difference in the dx's is MD#2 see's the patient for delirium plus all the other reasons MD#1 say patient for. Is this enough to bill out the visit for MD#2?


  2. #2
    Milwaukee WI
    Default Same practice / same specialty
    If the two physicians are of the same practice and same specialty then NO you cannot bill two E/M services for the same DOS. You will need to combine the work of the two and, according to your practice policy (you DO have a policy in place, I hope) code the combined notes as one E/M service under one of the two physicians.

    If they are different practices, or different specialties in the same practice, they can each code an E/M visit.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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