Here's how I look at it and again this is only my opinion. Since a consult was already requested of the podiatrist for the specific reason of mycotic nails and he ended up doing some debriding, I don't think an E/M should have been billed. Think about it this way..if a patient comes in for specifically having warts removed and has them removed, unless there was something separately wrong with them during the visit (for example the flu) then you cannot bill a separate E/M.
Now if the doctor was called in for a general consult of the patient and ended up doing some nail debridement then you can bill the debridement and E/M since it's a separate issue.
Hope this helps
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