Wiki E/M visit during Ortho post of visit

[Diane Eslinger]

Patient comes in for 6 week right hip arthroplasty follow up. During the visit provider realizes that the patient is due for there 2 years follow up for there left hip arthroplasty. Providers performs bilateral hip x-ray and in addition to the right hip exam the provider also performs an exam on the left hip. Can the provider bill out global visit for the right hip and than an E/M level for the left hip with a modifier 25?

 

[MARY K]

If patient is in a global for total left hip, but also is due for right total hip yearly f/u, If dictation supports a 99212 with modifier 24 diagnosis z96.641, for bilateral hip x ray icd10 z96.643 will do.