I recently looked after a patient- very sick. This care resulted in a number of procedures (intubation, bronchoscopy, central line, ...) all taking place in the middle of the night. In the software I submitted the e409 premium code separately for each of the procedures I performed after hours but get a warning label that  I'm submitting multiple of the premium code and that they will automatically be collapsed for me.

Does this mean:

1. you can only submit one e409 per calendar day (and therefore should tag to the procedure that pays out the best)?

2. submitting one e409 code will "premium-ize' all the submitted procedures for that calendar day (which may not be true if some were performed during the day and others after hours)

Any insight would be appreciated.

M.