Wiki Debridement with office visit

[jnieto625]

Patient initially diagnosed with a laceration. Came back for f/u a week later and physician diagnosed with complicated open wound of knee and decided to perform a debridement. My physician wants to bill a separate em for this since the dx changed. I disagree because the physician evaluated and discussed treatment options for this injury with the patient the week prior. This was a f/u visit which resulted in a debridement since the wound worsened. I think only the debridement should be billed. Can someone please clarify?

 

[ljmcnamara3]

Good question! In my opinion, I would question if there would be enough of a separately identifiable E/M outside the scope of the procedure performed at the follow up visit. I would report Procedure Only.