Wiki E/M with an matrixectomy (11750)

[kberger2124]

Does anyone know if you can do a new patient e/m if they are coming in for an ingrown that day? Does getting all of the HPI , ROS allow you to bill a 9920X-25 with 11750?

 

[lcolborn]

Does anyone know if you can do a new patient e/m if they are coming in for an ingrown that day? Does getting all of the HPI , ROS allow you to bill a 9920X-25 with 11750?

With the new E/M guidelines, only medically appropriate exam is to be noted, no need to count the bullets from the HPI and ROS. As far as the ingrown removal, any procedure on the day of the visit , append a 25 on your E/M.

 

[podcoder70]

20 years of podiatry billing here...yes, you can bill the e/m on the first visit with 25 modifier and the 11750. This was true for the old e/m rules which you mention and for the new rules. The new e/m is based on medical decision making OR time spent NOT on the HPI and ROS. The APMA has info on their website that is helpful.