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Posted By Mary Peabody on 04-15-2020, 14:15:38 in Ob-Gyn
Hello Melanie,
When billing Medicare for an E/M with a minor procedure on the same and the decision for the minor procedure was made at that visit (example patient seen for post menopausal bleeding and the provider decides to perform an endometrial biopsy on the same day, can you bill the E/M with modifier 25 and endometrial biopsy (58100)? The provider documents a detail HPI, detail ROS and performs a detail examination and documents in the assessment, the decision to perform the endometrial biopsy.
When billing Medicare for an E/M with a minor procedure on the same and the decision for the minor procedure was made at that visit (example patient seen for post menopausal bleeding and the provider decides to perform an endometrial biopsy on the same day, can you bill the E/M with modifier 25 and endometrial biopsy (58100)? The provider documents a detail HPI, detail ROS and performs a detail examination and documents in the assessment, the decision to perform the endometrial biopsy.
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