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E&M & ID same day?

  1. #1
    Default E&M & ID same day?
    Medical Coding Books
    Wondering if someone would be able to help out with coding?
    New Pt seen in the office for a peri-rectal abscess. Surgeon sends the pt to
    the hosp. same day for an I & D - Can I bill the new pt ov with a modifier because I cant use 57 as an I&D does not have a 90 day global. Thanks for your help.

  2. Default
    If the same provider (or partner) performed the surgical procedure that saw saw the patient for the new patient exam, I would append the modifier 25 to the e&m service.

  3. #3
    I agree - 25 modifier. If that's a Medicare patient, good luck - minor procedures are bundled with e/m's same day.

  4. #4
    St. Louis, Missouri
    I would bill e&m with a 25 modifier.

    Melissa Blow, CPC

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