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When to bill an E/m with an injection?

  1. #1
    Default When to bill an E/m with an injection?
    Medical Coding Books
    Recheck of a trigger finger. Dr. does same exam as usually and then does another A-1 pulley injection. Is the E/M included? Help , please

  2. Default
    here is my thoughts. Has he performed surgery on the trigger finger? If so is it within the global period? By the information you have given, I would use an established patient E&M with modifier 25. Even if it is in the global you cant use the 99024 because it is not routine follow up, he did an injection - just didnt check it. I would probably also use a J code for whatever substance he injected.

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