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Wiki E/M and wart removal

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maine4me

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If a patient came into to see her PCP on 5/4 for an e/m and 17000, patient had chronic conditions review and at the time of visit a new condition, wart on the finger was discussed and subsequently removed. This was billed 99213-25 and 17000. This was paid. Now if the patient returns on 5/13 for an additional wart removal, but on arrival complains of vertigo, yellow nasal dishcarge, other cold symptoms and ear congestion. This was billed as 99213-25 and 17000, since wart removal was also performed, and meds prescribed for other conditions. My question is should a 24 modifier also be appended to the 99213?
 
17000 is for destruction of AKs and 17110 is for benign lesions other than skin tags and vascular proliferative lesions (warts, sk, etc.)

Dee
CPC,CPCD, CPMA
 
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