I have a Medicaid patient that delivered with one physician but did not want to return to him. She came in during the 6 week postpartum with a problem of disruption of perineal ob episiotomy. She also had an IUD inserted on this day. I am not sure about the office visit code, E/M new pt or postpartum care only cpt code and the modifier to append to it. Any guidance is appreciated. I have mulled over several options and have gotten more confused.