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Thread: Is E&M billable prior to portacath?

  1. #1
    Join Date
    Apr 2007

    Red face Is E&M billable prior to portacath?

    AAPC: Back to School
    What are the opinions about billing an E&M for a pt that was scheduled for a portacath placement. The Onc office referred a new pt, we didn't see them in the office, we just scheduled the port to be placed. Can an E&M be billed with my surgical code? Can the Mod 25 be used in this senario? HELP... Thanks.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default You didn't see patient before taking to OR?

    So you took the patient straight to the OR without seeing him/her?

    Every procedure includes as part of the reimbursement the appropriate pre-operative evaluation.

    If all that was done was the limited exam that would be inclusive to placing the port, then all you code is the procedure.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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