Wiki 99213-25 same day and Dx as 11750

[krisfelty]

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]

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.

 

[aguelfi]

I agree w/ Herbie