AAPC - Back to school
Results 1 to 1 of 1

Thread: Modifier 25 - I need an opinion on the usage of modifier 25

  1. #1
    Join Date
    Apr 2007

    Default Modifier 25 - I need an opinion on the usage of modifier 25

    AAPC: Back to School
    Hi. I need an opinion on the usage of modifier 25. Would anyone code an EM visit for xerosis in addtion to 11720? If so, please specify EM level. MCR guidelines. Pt over 65. (11057 does not meet mcr guidelines based on doc, no "systemic disease documented").

    Chief Complaint: Onychomycosis, hyperkeratoses
    Uses Carmol-40. Hasn't been using his cream for his dry feet/
    calluses. Denied DM.

    PMH: Pertinent

    Color: good.
    No ulcers, T. pedis but (+) xerosis and lesions listed below.
    Q-9: Skin/texture/color changes, claudication, paresthesia
    Hyperkeratosis: Distal clavus 3 RT and
    RT: Submet 1, 2 3 and distal clavus 3rd.
    LT: submet 1, 2 4
    Thick, yellow/ whiet discoloration/striations aonly requiring minimal
    debridement < 5 toenails today.
    ORTHOPEDIC: HAV/ bil. and Cavus foot type/ BILATERALLY

    l. Hyperkeratoses x 7, including porokeratoses.
    2. Onychomycosis x 5 requiring tx today.
    3. Pain in Limb
    4. Xerosis bil.

    l. Pared, enucleated 7 lesions bil.
    2. Debrided, reduced 5 toenails,
    3. Strongly recommended twice: BID Carmol-20 to feet; not occasionally


    Christy CPC, RHIT
    Last edited by ank3t; 10-20-2016 at 05:28 AM.

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

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.