Is modifier 25 appropriate for this scenerio

raidaste

Guru
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Chanute, KS
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New patient came in with CC of knee pain. After History and exam taken doc decided to prescribe medication and also did arthrocentesis. Can I bill for e/m and procedure for this?
 

nrichard

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254
Location
Pensacola, Fl
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Since this is a new patient I would say yes. It is my understanding that with the documentation of a new patient this is considered seprately identifiable.
 

Julie Davis

Contributor
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Location
Parker, CO
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The patient came in with knee pain, the physician had to evaluate the patient to determine what was causing the pain and make the decision to perform the procedure. You can bill for the E/M service with the modifier 25 in addition to the procedure.
 
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