E/M -vs- Procedure

Because there is a certain amount of E/M service included in the reimbursement of a procedure, we have a physician asking if he can charge a new patient office visit instead of the procedure because the RVU/reimbursement is higher on the OV. (Ex: OV, trigger point injection, & kenalog). He does not have documentation to bill both using a -25 modifier. Of course, correct coding would be to bill the injection and kenalog, but can't find anything in writing that says he couldn't bill it this way.
Opinions?

re: E/M -vs- Procedure

Bill the codes that most accurately reflect the service performed, not the codes with the highest RVUs.

However, if it is a new patient, the physician needs to assess the patient before deciding to do a trigger point injection. I think in most cases, both an o.v. and the injection would be appropriate. For a repeat, planned injection, bill only the injection.