AAPC - Back to school
Results 1 to 7 of 7

Thread: charging Office visit at same time of wound repair

  1. #1

    Smile charging Office visit at same time of wound repair

    AAPC: Back to School
    I was wanting to know if it is legal to charge an office visit with a wound repair when the only diagnosis is for the wound repair


  2. #2


    Remember that in order to report and E/M visit with a 25 modifier you need to have a significant, separately identifiable E/M service. Make sure your documentation support this.


  3. #3


    I agree with Monika. Adding to that, I'd personally review the documentation, and if it's supported, bill an E/M with modifier 25 and the wound care.


  4. #4

    Question e/m with a repair

    Thanks for the info. I understand about using the mod 25 with the e/m service, but what the doctor was wanting to do was charge an e/m with a simple repair 12001 and the only diagnosis we had was for the wound, so I didn't think it was right to charge the e/m.

    Kind of confused


  5. #5



    Best way to get unconfused is to get the chart notes, review them and then decide if it's billable or not. Hope that helps.


  6. #6
    Join Date
    Apr 2007
    Loma Linda,CA


    Also when using modifier 25,it states different diagnosis are not required for reprting E&M on same date.

  7. #7

    Smile Website Info

    Check out this site from EdgeBlast. It kind of helps clarify ( for me anyhow) with some examples of exactly what you are looking at
    Jaime CPC, NCP, EMR Specialist

Similar Threads

  1. Charging office visit w/procedure
    By hsheetz68 in forum ENT/Otolaryngology
    Replies: 1
    Last Post: 09-05-2012, 09:38 AM
  2. ER visit w/ stab wound repair by staples
    By bill2doc in forum Emergency Department
    Replies: 4
    Last Post: 12-19-2011, 05:24 AM
  3. Charging Office visit with planned procedure
    By gogden77 in forum Medical Coding General Discussion
    Replies: 4
    Last Post: 07-11-2011, 06:57 PM
  4. Charging for office visit after colonoscopy
    By adahl@fast-air.net in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-11-2011, 02:14 PM
  5. E/M visit/Wound Repair
    By kimb in forum Medical Coding General Discussion
    Replies: 7
    Last Post: 08-03-2008, 10:04 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.