Results 1 to 2 of 2

Wound Care and E&M

  1. #1
    Kingman/Lake Havasu - Arizona
    Default Wound Care and E&M
    Exam Training Packages
    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
    Columbia, MO
    from your description it sounds like a debridement only.

    Debra A. Mitchell, MSPH, CPC-H

Similar Threads

  1. Wound care and E & M levels
    By carol52 in forum E/M
    Replies: 2
    Last Post: 04-09-2013, 11:23 AM
  2. Wound care & dressing changes
    By Texascoder64 in forum Dermatology
    Replies: 0
    Last Post: 10-30-2012, 07:31 PM
  3. Wound Care @ Hospital based clinic E&M
    By eafaoro1 in forum Podiatry
    Replies: 3
    Last Post: 08-02-2010, 08:46 PM
  4. Wound care & nurses visits
    By ERINM in forum E/M
    Replies: 0
    Last Post: 07-20-2010, 12:56 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.