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prenatal visit and e/m on same dos

  1. #1
    Default prenatal visit and e/m on same dos
    Medical Coding Books
    If a patient comes in for scheduled routine appt. and during that appt complains of fall previous night and Dr does further workup for that fall would it be appropriate to count the scheduled routine as one of the prenatal visits and also bill for the office vist on the same dos?

  2. #2
    It can be billed separately, BUT there would need to be a separately identifiable service performed that was unrelated to the prenatal visit- so if the patient just mentioned that she fell the night before than no, but if the doc did a separate exam in regards to her injuries from the fall, and it is documented separately- not on her prenatal flow sheet but a separate note, then yes it can be billed on the same day. You will need to make sure that the dx used for the separate exam is one that describes the pt's injuries from the fall and not "routine pregnancy".

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