The e/m service may be reported for an unrelated problem or separately identifiable service. If the e/m service is the initial assessment of the condition and that visit prompted the decision to apply the Unna boot, you could report the e/m as long as the assessment is significant and separately identifiable. If the patient is scheduled for application of an unna boot...bill the unna boot only. One thing to remember also...If the patient arrives to the office and needs debridement for the ulcer, the unna boot is included in the debridement service.
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