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Wiki Billing Botox and E/M code same day

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lsmorris

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I am wondering...if a physician sees a patient performs an office visit for migraines (med review/update) and then performs Botox (64615) for migraines. Can an e/m code be billed with a 25 modifier?
 
64615 is a minor surgical procedure... 10 postop days. The E/M that leads to the decision to perform the botox for the migraines is INCLUDED in the chemodenervation and cannot be billed for separately. An E/M can be billed for a separate or unrelated matter.
 
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