Ulcer wound care (debridement) and office visit

joharley19

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I understand the modifier 25 issue - however, my doc's are concerned that when pt's are coming into our office for wound care (debridement of an ulcer) that they are losing money by not being able to bill an office visit with it. I have explained what the modifier means to them, but, their argument is that they may be changing medications, off loading shoes, orthotics, etc to accommodate the wound and the area surrounding that.

My question is with enough documentation can they bill an office visit (it would be utilizing the same diagnosis codes as the ulcer)?

Thoughts / suggestions ?

Thanks
 
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