AAPC - Back to school
Results 1 to 2 of 2

Thread: Modifier 25 in Wound Clinic

  1. #1
    Join Date
    Apr 2007
    Harrisburg, PA

    Question Modifier 25 in Wound Clinic

    AAPC: Back to School
    We have a surgeon that treats patients in the Wound Clinic. When billing he usually bills for a debridement as well as an E/M level with a 25 modifier attached to the level. Is measuring the wound and mentioning the degree of healing justified as an E/M level? Does anyone know if there is minutes of E/M service attached to the debridement codes (11040-11042)?

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    If the patient is scheduled to come in for a debridemenr then no OV, if the patient is scheduled for a wound check and during the exam the physician makes a decision to perform a debridement then as long as the documentation is complete and supports then yes an OV with a 25. And there are no minutes connected to debridement codes.

Similar Threads

  1. Wound Clinic Billing
    By tmorehart in forum Medical Coding General Discussion
    Replies: 6
    Last Post: 04-17-2014, 06:36 AM
  2. E/M on Wound Clinic Visit
    By mwarren in forum Billing/Reimbursement
    Replies: 2
    Last Post: 07-12-2011, 07:33 AM
  3. Wound Clinic Resources
    By klbecker in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-13-2011, 08:06 AM
  4. Wound Clinic Modifier
    By hrange in forum Modifiers
    Replies: 0
    Last Post: 11-04-2010, 01:37 PM
  5. Modifier 25 usage in wound clinic
    By gdicrocco in forum E/M
    Replies: 1
    Last Post: 09-29-2010, 09:44 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.