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E & M code with Incision & Drainage

  1. #1
    Default E & M code with Incision & Drainage
    Medical Coding Books
    Can you charge and office E & M code with a 25 modifier along with an I & D code, for example 10060?

  2. Default
    If it's a new patient you can charge an E/M with mod 25 and I&D.

    If it's an established patient you can't, unless you have a different dx to pair with the E/M.

  3. #3
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    Columbia, MO
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    Default
    You can charge an E&M and a procedure with a 25 modifier for a new OR an established patient and you do not need 2 different dx. The documentation must support a significant and separately identifiable assessment of the patient than that which is already an inherent part of the procedure. If the procedure is planned prior to the patient's visit then you cannot charge the E&M whether the patient is new or established.

    Debra A. Mitchell, MSPH, CPC-H

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