Radiology Question for the Week of Decemeber 7, 2015

Question:

Can a medically necessary evaluation and management (E&M) visit be billed on the same day as the lung cancer screening counseling and shared decision-making visit?

Answer:

As long as the national coverage determination (NCD) requirements for the counseling and shared decision-making visit are met, it may be billed on the same day as a medically necessary E&M visit or an annual wellness visit with the -25 modifier. For coverage and billing details for this service, see the transmittal at
https://www.cms.gov/Regulations-and-Guidance/Guidance/Transmittals/downloads/R3374CP.pdf.

Disclaimer: Every reasonable effort was made to ensure the accuracy of this information at the time it was published. However, due to the nature of industry changes over time we cannot guarantee its validity after the year it was published.