• Billing for Exam Instead of Surgery


    Question: If I perform a minor procedure that has less reimbursement than the level of exam performed, can I bill for the exam rather than the minor procedure?

    Answer: Yes, you can choose to just bill the exam. However, you should perhaps make note of it for this patient. If you don't explain the billing and, at another time, bill the surgery, the patient may question your billing patterns.

    Learn more about exams in the 1-Hour Coding Course: E/M Documentation Guidelines for All Specialties and 1-Hour Coding Course: Eye Visit Code Documentation Guidelines.