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E/M & procedure code

  1. Default E/M & procedure code
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    We have a patient who was seen for shoulder pain & sore rectal area. The patient was given a script for rectal suppositories. Her shoulder was injected and an anoscopic exam was performed. The doctor wants to bill a 99213, procedure code for shoulder injection and anoscopic procedure code. Can a office visit be charged also, because the office visit would be related to the two procedure codes. Please advise. Thanks.

  2. #2
    Smile yes!
    Yes, all three codes can be billed. Don't forget your modifier on the E/M code (25). Be sure the documentation supports a level 3 exam and each of the surgical procedures. Hope this helps

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