New patient office visit with kenalog shot

Allderm4045

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We are a Dermatologist office and currently use EMA as our EHR, when the Doctor sees a new patient for Dermatitis and then during the examination determines that a kenalog shot is needed the cpt codes previously used were 99202, J3301 x 4 and 96372, however, our EHR system continually drops the office visit. Is this the correct to bill per guidelines or due to the fact it is a new patient and has not been seen in our office before, wouldn't a new patient office visit with the modifier be allowed?
 

CodingKing

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Since the E&M was for an unrelated issue to the knee injection you need to add modifier 25 to the E&M
 
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