AAPC - Back to school
Results 1 to 4 of 4

Thread: E&M & ID same day?

  1. #1

    Default E&M & ID same day?

    AAPC: Back to School
    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. #2


    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
    Join Date
    Apr 2007
    St. Louis, Missouri


    I would bill e&m with a 25 modifier.

    Melissa Blow, CPC

Similar Threads

  1. ANOSCOPY & E&M svc done same day
    By PAULA FEDELE in forum Billing/Reimbursement
    Replies: 7
    Last Post: 03-16-2015, 01:15 PM
  2. ANOSCOPY & E&M svc done same day
    By PAULA FEDELE in forum General Surgery
    Replies: 1
    Last Post: 09-10-2013, 07:13 AM
  3. Post T&A Hemorrhage Same Day as T&A
    By Anjelique in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 06-06-2012, 09:41 PM
  4. medical E&M with preventive E&M same day
    By PERRAULT in forum E/M
    Replies: 1
    Last Post: 05-29-2012, 01:57 PM
  5. Admission E&M & Procedure same day
    By Hopp in forum General Surgery
    Replies: 2
    Last Post: 04-22-2008, 12:10 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.