Wiki E&M & ID same day?

[Hopp]

Wondering if someone would be able to help out with coding?
New Pt seen in the office for a peri-rectal abscess. Surgeon sends the pt to
the hosp. same day for an I & D - Can I bill the new pt ov with a modifier because I cant use 57 as an I&D does not have a 90 day global. Thanks for your help.

 

[Treetoad]

If the same provider (or partner) performed the surgical procedure that saw saw the patient for the new patient exam, I would append the modifier 25 to the e&m service.

 

[ARCPC9491]

I agree - 25 modifier. If that's a Medicare patient, good luck - minor procedures are bundled with e/m's same day.

 

[mmelcam]

I would bill e&m with a 25 modifier.