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E & M with procedure

  1. #1
    Location
    Toms River, NJ
    Posts
    51
    Default E & M with procedure
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    Hi all , could use some help. i am wanting to bill an E & M code with an excision and closure. not really sure i can do this. i know i can bill an o/v code with biopsy and codes 17000-17004. they are really minor procedures. so if billing a 11403 and 12032 can i also bill a 99213? any help would be appreciated.

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default What was reason for visit
    If the patient was SCHEDULED to have a procedure, the E/M is already built into the Reimbursement for the procedure - NO separate E/M should be charged.

    If the E/M was a significant, separately identifiable service and your procedure has 0-10 day global period, then use the -25 modifier.

    F Tessa Bartels, CPC, CEMC

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