To be able to charge an E&M in addition to the procedure, the utilization of resources must be over, above and beyond what is necessary for the procedure. When a patient is scheduled to come in for a chemo infusion, then just as for the physician we know why the patient is there and all resources consumed are a part of the infusion. so for #1, I say no. and # 2, you would need to justify what was expended outside the norm, the nursing time is inclusive to the treatments. so with no further information I say no, and same for #3 I say no, #4 however you bill a facility level as no treatment was rendered, and the facility should have something on the assessment tool to account for this so that a level may be charged.
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