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E/M Service in ASC setting

  1. #1
    Default E/M Service in ASC setting
    Medical Coding Books
    Our providers are trying to bill an E/M visit as well as the procedure in an ASC setting.

    My argument has been that they are planned procedures therefore E/M can not be billed.
    Their argument is they should be able to bill E/M visit for patients they haven't seen before because they coucil the patient on the procedure and take history.

    Any thoughts?

  2. #2
    I am a little confused by scenerio. It is a planned procedure on a patient that has never been seen before?

    Maybe it is just me, but could you clarifiy?

  3. #3
    They are saying they are being called in to do a procedure on the patient they haven't seen. Besides that issue, there is the issue where they are doing procedures on their own patients in an ASC and still billing an E/M visit in an ASC setting.

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