I have my fingers crossed for help. PLEASE!!

In the lasted article of Coding Edge (May) the article "Use Templates with Caution" has me a little confused.

The article states when to use and not to use a -25 modifier w/ and E/M when 17000 series of CPT are performed.

If the doctors only see's the patient for the AK's or SK's then performs the 17000 series (still pertaining to the original reason for visit) how can a -25 modifier be carved out?

Would this apply to a Podiatry visit (w/ a nail trimming) too?

Guildlines state, "Significant, Separately Identifiable Evaluation and management service by the same physician on the same day of the procedure or other service"