Wiki PE annual and office visit for tick bite?

wynonna

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Would it be appropriate if patient presents with a tick bite and bull's eye rash to bill an office visit with a PE annual when patient is also being seen for this?
In this case the MD ordered labs to check for Lyme's and gave Rx for doxycycline, in addition to performing an Annual Physical Exam to a non-Medicare patient.
Would a PE code for non-Medicare/commercial insurance and 99213 be appropriate to bill together?
Thank you
 
Hello wynonna,

Yes, if patient presented for Annual PE and a problem with additional workup was found as you have mentioned with the tick bite, then yes that would warrant a separate e/m service with modifier 25.
 
Please be advised that Magnacare, Oxford and health care partners never pays for 2 visits. especially be careful with Magnacare since it's very difficult to get paid claim if both visits are on claim
 
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