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Please help coding Office Consult/Minor Same day

  1. #1
    Default Please help coding Office Consult/Minor Same day
    Medical Coding Books
    Hi! Just wondering if someone would be kind enough to
    help with coding. Doc saw a new Pt referred by PC doctor for an Abscess left leg. My Doc decided to I&D abscess
    in the office. Can I also bill for the office consult 99243 with a 25 and the I&D 10060! I do not think so and thought that I could only bill for the minor, just wanted another opinon. Thanks

  2. #2
    Default
    Chances are that you can bill an office visit (with a 25 modifier) in addition to your procedure since the patient was new to that specialty but documentation must support the separately identifiable E/M. Whether or not it is a consultation code or a new patient visit code depends on the documentation also.

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    AHIMA Approved ICD-10-CM/PCS Trainer
    AAPC National ICD-10-CM Trainer

  3. #3
    Default
    Quote Originally Posted by Hopp View Post
    Hi! Just wondering if someone would be kind enough to
    help with coding. Doc saw a new Pt referred by PC doctor for an Abscess left leg. My Doc decided to I&D abscess
    in the office. Can I also bill for the office consult 99243 with a 25 and the I&D 10060! I do not think so and thought that I could only bill for the minor, just wanted another opinon. Thanks
    What was the intent of the visit was it to do the I&D, this happens in my practice quite often where pt comes in for an office visit and the doctor decides to perform a procedure. IF the procedure was not "planned" you can bill for both the ov and the procedure using modifier 25.
    Roxanne Thames CPC, CPC-I, CEMC
    rthamescpci@gmail.com


    "Remember the greatest gift is not found in the store but in the heart of true friends"

  4. #4
    Default Office Consult/Minor Sx same day
    Thanks so much for all of your help deb

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