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Thread: Wound Care and E&M

  1. #1
    Join Date
    Apr 2007
    Kingman/Lake Havasu - Arizona

    Default Wound Care and E&M

    AAPC: Back to School
    One of our surgical providers bills an E&M with every wound care visit stating this is "standard procedure for wound care clinic." The E&M does not meet the necessary requirements for a 25 modifier.
    The provider assess the wound (reason for visist: wound check. Exam: all related to wound. Assessment: wound details.) and does debridement (or other procedure). Is this evaulaution of the wound considered enough to support a 25 modifier or is this a part of the procedure?
    Thank you!

  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    from your description it sounds like a debridement only.

    Debra A. Mitchell, MSPH, CPC-H

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