They would both be coded as the appropriate E&M service. Just because they are done in the same week does not mean it should be coded differently. It is not unheard of for a dr to see a patient twice in one week for the same condition, depending on what that condition was. For example, pts with conjuctivitis can be seen 2 - 3 times in one week. A patient with high blood pressure may be requested to come in again to see if the medication is working. There are many circumstances that a patient may be seen more than 1 time in a week.