SBilb89
New
Hello all. I work in dermatology and so I see a ton of use of the 25 modifier. I'm still not quite sure what counts as significant and separate when the procedure and E/M have the same diagnosis, and I've heard differing opinions.
Example: A patient has Hidradenitis Suppurativa (a chronic condition, not at goal). They come in and get an injection to three active lesions. The provider also instructs the patient to continue their current meds, and prescribes a new prescription for antibiotics. Would you add an E/M for the prescription medication management?
Example 2: The patient comes in for cryotherapy to painful warts on the fingers. The provider instructs the patient to apply salicylic acid to the warts after the cryo heals. Would you add an E/M here?
I would appreciate any guidance regarding trickier E/M situations like this.
Thanks!
Example: A patient has Hidradenitis Suppurativa (a chronic condition, not at goal). They come in and get an injection to three active lesions. The provider also instructs the patient to continue their current meds, and prescribes a new prescription for antibiotics. Would you add an E/M for the prescription medication management?
Example 2: The patient comes in for cryotherapy to painful warts on the fingers. The provider instructs the patient to apply salicylic acid to the warts after the cryo heals. Would you add an E/M here?
I would appreciate any guidance regarding trickier E/M situations like this.
Thanks!