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Follow up on same DOS

  1. #1
    Location
    Anchorage, AK
    Posts
    31
    Default Follow up on same DOS
    Medical Coding Books
    If a patient comes in for a follow up/complaint later on the same day and his complaint was that there was no change from his previous visit earlier, do I just code the DX without an E/M? To my understanding, you can not bill 2 visits for one DOS.

    Please help!

  2. #2
    Location
    Ellenville, New York
    Posts
    1,177
    Default Combine the visits
    Since you can only charge for one E/M service per day, we will combine the services together to determine the proper level.

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  3. #3
    Location
    Anchorage, AK
    Posts
    31
    Default
    Ok, so how about if a patient comes back for a follow up 2 weeks after for eczema with slight improvement, different physician - would you add an E/M?

  4. #4
    Location
    Ellenville, New York
    Posts
    1,177
    Default
    Quote Originally Posted by maysix View Post
    Ok, so how about if a patient comes back for a follow up 2 weeks after for eczema with slight improvement, different physician - would you add an E/M?
    This is a new visit, new DOS - doesn't matter which physician - this would have it's own E/M service separate from the previous visit two weeks ago.

    Unless I am misunderstanding your question....

    Lance Smith, MPA, COC, CPMA, CEMC, RHIT, CCS-P, CHC, CHPC

    Director, Health Information Management
    HealthAlliance of the Hudson Valley
    Kingston, NY


    2016 Secretary
    Ellenville, NY Local Chapter

  5. #5
    Location
    Anchorage, AK
    Posts
    31
    Default
    Now that's what I thought also but I think I'm just getting myself confused.. lol

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