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Does 12002 include the E & M code

  1. Exclamation Does 12002 include the E & M code
    Medical Coding Books
    Does CPT 12002 already included the E & M code? In what I can find it appears that only the 12002 should be billed and not 99201 and 12002??

    Thanks for your help,

    Sharmon

  2. Default
    Can you share the note minus any patient information?
    Dee
    CPC, CPCO, CPMA, CPCD

  3. #3
    Default
    Quote Originally Posted by Leedham View Post
    Does CPT 12002 already included the E & M code? In what I can find it appears that only the 12002 should be billed and not 99201 and 12002??

    Thanks for your help,

    Sharmon
    If documentation shows that the decision for surgery was made, subesequent to the E/M, and during the same visit (especially for a new patient), you should be able to justify billing both. There's no NCCI edit listing E/M codes as incidental or mutually exclusive to 12002, but most payers require a 25 modifier on the E/M. Hope that helps!

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