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Thread: E/M amd scheduled procedures in hosp

  1. #1
    Join Date
    Apr 2007
    San Diego

    Default E/M amd scheduled procedures in hosp

    AAPC: Back to School
    I know if the decision for surgery was made in the office, and the pt is scheduled a few days later,an additional E/M can't be billed the day of surgery. What if the prodecure being done is non-surgical and doesnt have a global period? For example,a cardioversion.
    Can a E/M servcie be billed for this outpt procedure when the decsion was made in the offcie (no global period) for this test?


  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    Probably not. What would the medical neccessity be? Is it just a pre-op visit? Even if there is no global period, that "procedure" still has some work value built in for the normal pre-procedure work/visit.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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