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2 E/M services, Same Day, Different Location

  1. #1
    Casa Grande, Arizona
    Default 2 E/M services, Same Day, Different Location
    Medical Coding Books
    Is it possible for a specialty group practice to bill 2 E/M services on the same date if they are done at 2 different facilities?

    For example, pt is seen as inpt consult at Hosp 1 with Dr. A. Pt is found to have acute MI and is transferred to Hosp 2 for a higher level of care. Dr. B (from the same specialty group as Dr. A) admits the pt to Hosp 2 and dictates an H &P. Can both E/M services be billed?
    *Keep in mind that Hosp 1 is a small hospital not equipped to handle certain acute-care situations.

    I would appreciate any insight you can provide, as this is an situation I am seeing more and more often.
    Ashley Eberle, CPC

  2. #2
    Milwaukee WI
    Default Only 1 E/M
    Without actually seeing the documentation from both physicians, it's hard to give you an accurate response. However ...

    You'll only get one E/M out of this. You can use all the documentation to arrive at your level of service for the Admission. In your scenario Doctor B will be the billing provider.

    It is possible that you may have a critical care situation (can't tell if I haven't seen the notes, however). Again, only one bill but you can combine all the time documented if both documented critical care time of 30 min or more.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Casa Grande, Arizona
    Ashley Eberle, CPC

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