Patient presents for debridement & dressing of burn.
Physician wants to charge a 99212, however there is a code for debridement & dressing that applies- 16020. I added 16020 and did not charge an E&M. Now the physician has come back to me stating he does not want to charge the procedure code, only an OV because the patient is self pay.
I've been told that if I can pull info out to meet a 99212 then to charge it and not the procedure. My question is compliace wise is this okay to do? I feel uneasy charging an E&M when I know there is a procedure that was performed. I feel like if the physician doesn't want to charge the patient for the procedure (because the pt is self pay) then he should just no charge the visit all together.
Does anyone know the exact rule on charging an E&M rather than a procedure when a procedure is performed? It seems fraudulant to me.....
Physician wants to charge a 99212, however there is a code for debridement & dressing that applies- 16020. I added 16020 and did not charge an E&M. Now the physician has come back to me stating he does not want to charge the procedure code, only an OV because the patient is self pay.
I've been told that if I can pull info out to meet a 99212 then to charge it and not the procedure. My question is compliace wise is this okay to do? I feel uneasy charging an E&M when I know there is a procedure that was performed. I feel like if the physician doesn't want to charge the patient for the procedure (because the pt is self pay) then he should just no charge the visit all together.
Does anyone know the exact rule on charging an E&M rather than a procedure when a procedure is performed? It seems fraudulant to me.....