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45
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Harlingen, TX
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(patient has VNS in place)

If a patient comes in for a scheduled F/U due to seizures or parkinsons and the physician decides to interrigate his/her VNS, would a separate E/M be appropriate with modifier -25?

-I am asking because I am assuming that the decision to check it would be considered bundled in with the procedure code itself so possibly it would be inappropriate to add the E/M.
-Then again, if the physician is going beyond that of just the procedure because he is trying to determine if anything else is going on with the patient, then it would be appropriate to bill a separate E/M



Your thoughts on this matter would be appreciated.
Thanks.
 

marvelh

Expert
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304
Location
Denver Colorado
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There are no NCCI bundling edits between the 95971 code and the established patient E/M codes. Both can be reported without a modifier for the same date of service.
 
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