99213-25 same day and Dx as 11750

krisfelty

Guru
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142
Location
San Diego, CA
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Can someone please tell me if the Dr. sees a pt on the same day as the procedure code 11750(10 day global) and does a 99213-25 and uses the same dx for both codes, is this payable? Does it fall into not significant, separately identifiable? This is a podiatry service. Thanks you for any comments you have, this Dr. likes to argue every point with us!
 

Herbie Lorona

Expert
Messages
409
Location
Yuma
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It is payable but you better make sure the documentation supports it. If it was a routine procedure with no complications and didnt need the extra time for a e&m code then i would only be coding the procedure code.
 
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