The claims should not be duplicating if they are using the proper ICD-9 code. A pulmonary specialist should have the pulmonary ICD-9 code on the claim, while the cardiologist within the same practice should have the cardio ICD-9 codes. You have to put the specific ICD-9 code according to the reason the specialist is seeing the patient. It can be ten different specialitist within the same practice that utilizes the same E & M, but each should have a different ICD-9 code.
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