I will wager an opinion here.
If the additional E/M was significant and separately identifiable above and beyond the usual pre and postoperative work of the I & D, then you may report it with modifier 25 appended. I can't speak to reimbursement, but I would suggest talking with the payer in question here for further guidance.
I am not for certain here, but since you have two, significant, separately identifiable E/M services (the well child check and the additional office/outpatient E/M), you may need to append modifier 25 to the well child E/M as well. This may be payer specific, but I think you could have a potential problem with the payer bundling the well child E/M into the I & D.
Hope this helps and again this is my opinion.
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