Coding > Coding

2 E/M on same day - different docs

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mkarnes:
One of our general cardiologists saw a patient today and then requested a consultation from our interventionalists/peripheral vascular cardiologist on the same day.  If our interventionalist is listed under a separate taxonomy code, then the consultation should be allowed but what modifier would I attach to the consultation since it is on the same day as the initial E/M with the first cardiologist?  Btw, this is a commercial insurance patient.  :-\

DMK:
Shouldn't be a problem.  The 2nd doctor will need to have the UPIN of the referring doctor on his claim.  Both can have an E/M code on the same day, even if it's a new patient code.

mkarnes:
Thank you!!

Michele:
DMK,  it sounds like they are billing using the same EIN/Group NPI.  I don't think they will allow for two new patient codes from the same group on the same date.  I've been out of things for a few days so maybe I'm missing something?? 

DMK:
Re-reading the initial post, I missed that!  But if it WAS NOT the same group would both doctors get paid?

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