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E&M Coding Based on Time
Our surgeon saw a new patient in the office yesterday. His documentation supported reporting the E&M using time instead of based upon MDM. My question is about the time calculation. Today, he reviewed an MRI that the patient brought in this morning and he wants to add that time to his total time from yesterday, the date the patient was seen. The reportable E&M would change from 99204 to 99205 if he is able to do this. He thinks yes, since it was within 24 hours of his encounter with the patient. Is this acceptable?
Use of Modifier 52
My surgeon was called into a laparoscopic operation that was already underway, to perform extensive lysis of adhesions. Does he need to use a modifier 52 because the patient was already “opened”, or can we just bill for 44180 Laparoscopic lysis of adhesions?
Coding for Spine Procedures that Cross Spinal Junctions
How do you report a spinal procedure for example, arthrodesis or laminectomies when two spinal are involved. For example., both thoracic and lumbar spine?
E/M Visit During the Global Period
Can I bill an office visit in the global period if the diagnosis is different from why I did the original procedure?
Angiogram Billing for All Vessels Viewed
Can we bill for all vessels mentioned if they are documented within the angiogram?
2021 Evaluation and Management Codes: Is a History Required?
My coder just told me about the new guidelines for 2021 office visit codes. She said I no longer have to document a History. This doesn’t seem right to me.
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