Read your ICD GL about Aftercare vs F/up.
The scenario you described is aftercare and the ICD 9 should be v58.74.
Unless their is a seperate identifiable service, you should not use any E&M. There are some exceptions for the use of 99499 depending on what kind of database you use. In DoD we use 99499 as a placeholder in order for our accounts to transmit. If you don't need a "placeholder" you shouldn't code 99499.
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