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Wiki Coding for E & M with modifier 25

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elizabeth.cannaday@lpnt.net

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Physician saw the patient in the hospital (new patient). He examined the patient and decided to do an I & D. I coded the E&M as 99221-25 and the procedure as 10061. I'm being told this is incorrect. Dr. did not know when he saw the patient that he would perform the I&D. Is this correct or can I only charge the I&D or just the E&M without modifier? Thanks:rolleyes:
 
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