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Wiki Wound Care and E&M

AZ_coder

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28
Location
Kingman, AZ
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Hello;
One of our surgical providers bills an E&M with every wound care visit stating this is "standard procedure for wound care clinic." The E&M does not meet the necessary requirements for a 25 modifier.
The provider assess the wound (reason for visist: wound check. Exam: all related to wound. Assessment: wound details.) and does debridement (or other procedure). Is this evaulaution of the wound considered enough to support a 25 modifier or is this a part of the procedure?
Thank you!
Brandie
 
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