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Best way to code?

Hello All, The ER sent a patient to our office (Ophthalmologist). Our doctor did exam and needed to do Surgery right away. So our Dr. took patient back over to ASU and did the surgery. Can we bill for...

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Re: Best way to code?

It would not be a consultation because the ED provider is not the primary care provider and you would not return the patient back to the ED provider.You would bill the surgery because the OV would be...

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Re: Best way to code?

Thanks Steve, I thought that was the case. I have someone who tells me, Well if he doesn't do the office visit he wouldn't have known that he had to do surgery so I should be able to bill for...

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Re: Best way to code?

If it were a major procedure (one with a 90 day global), you would use modifier 57 on the E&M. You cannot use modifier 57 simply to get paid for doing the required H&P.If it was a minor...

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