Results 1 to 6 of 6

Multiple visits in one day

  1. Default Multiple visits in one day
    Medical Coding Books
    I work in an ortho clinic with two providers. Yesterday the girls in the front office had one patient see both of my docs for two different problems. Today I'm trying to figure out what to do. Since I am both the coder and the transcriptionist I have a dilemma, can I combine both dictations and bill it out, or do I have to pick one visit over the other? Would really appreciate some help on this one.


  2. #2
    Zoe, Was the patient seen and then came back in for another complaint? If that is the case and the visits are unrelated, then each can be billed.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    National Advisory Board Member 2018-2021, Region 6 Great Lakes

  3. Default
    If it was 2 unrelated problems with 2 different providers, they can be billed separately. The problem could lie within whether or not your providers bill with the same tax id or not.
    ~Amy, CPC, CPMA, CEMC~

  4. Default
    Yes, the providers have the same tax id #. I really don't think that I can bill for both visits. The patient was scheduled at 8:30 for one appointment for her knee and at 9:00 for the second appointment for her shoulder.

  5. #5
    Is this because one Doc specializes in knees and the other specializes in shoulders? If this is the case then it would be ok to bill separately for each physician's services. Given that it would be two different physicians, two different diagnosis, two different appointments... same TIN... a modifier 25 might be in order but be prepared for a denial and appeal with medical records.

    Hope this helps...
    Barbara Haskins CPC

  6. #6
    Reading, PA
    I bill and code for a multispecialty practice and on occassion our patients see multiple providers on the same day -

    When Dr A is seeing the patient for the knee then code the visit with the dx for knee -

    Then Dr B is seeing the patient for shoulder then code the visit with the dx for shoulder -

    These will get paid without any modifier -

    Just make sure when and if you get a denial from the insurance company you call and appeal making the insurance company realize that there are 2 different dx's that were used for the 2 different providers -

    I do this all the time especially when our providers are seeing the patients in the hospitials on the same dates for different dx reasons.

Similar Threads

  1. Multiple E/M visits on same day
    By in forum Modifiers
    Replies: 3
    Last Post: 01-31-2013, 11:20 PM
  2. Multiple visits one day
    By lillianbarker in forum E/M
    Replies: 1
    Last Post: 04-03-2012, 12:23 PM
  3. Multiple Provider inpatient visits on same day
    By MSUEEMBRY in forum General Surgery
    Replies: 2
    Last Post: 01-17-2012, 09:22 AM
  4. multiple physician home visits in 1 day
    By maudys in forum Modifiers
    Replies: 1
    Last Post: 06-23-2011, 10:29 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.