I am NOT trying to be flippant, but basically each physician should document what s/he does, and the coder should then code what was documented.
Without seeing actual notes, that's about all the guidance I can give you.
If they are in the same practice and with the same specialty they are considered the same physcian. So if Dr A sees the patient in the ER and documents 30 minutes (or more) of critical care, sending the patient to the OR for Dr B to operate, then you'll have to be sure to add the -57 modifier on the 99291 E/M service.
If they are of different specialties, or of different practices, then just code each one as per his/her documentation.
Hope that helps.
F Tessa Bartels, CPC, CEMC
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