Wiki CPT 99213 and 54450

[Britt0385]

Can a provider charge both 99213 and 54450 together, if the patient only came in for adhesion of prepuce and glans penis?

 

[sls314]

Can a provider charge both 99213 and 54450 together, if the patient only came in for adhesion of prepuce and glans penis?

If there wasn't a separately identifiable E&M service, then no. There is a CCI edit and the 99213 would not be reimbursed.

Since you're saying that there was no other reason for the visit, it's unlikely that the 99213 meets any criteria to be billed separately from the procedure.