AAPC - Back to school
Results 1 to 2 of 2

Thread: Wound Care

  1. #1
    Join Date
    Apr 2007
    Northwest Ohio

    Default Wound Care

    AAPC: Back to School
    I am finding different people have different opinions on this subject here at work so I would like your opinion.

    Patient presents to a wound care clinic to have a recurrent wound evaluated. Our general surgeon evaluates the wound and decides at that visit that the wound should be debrided. They document a complete E & M visit (99213), which includes all risk factors and extensive wound evaluation. Then he completes a debridement of the wound. I do agree that this constitutes an E & M service. This is a NEW recurrance of this wound and it is the first time the physician has even seen this wound since it has re-presented. He tells the patient that they will need to come back for a follow up visit, to look at the progress of the wound and to see if the treatment has been successful.

    Patient then presents for the follow up visit. The wound is evaluated again and is improved, however the physician thinks that a second debridement is needed and performs it the same day.

    Do you think that the follow up visit should be billable with a 25 modifier? I am a tad torn on this subject.

    Last edited by MandyFlagg; 09-07-2011 at 09:01 AM.
    Mandy Flagg, CPC, CEMC
    Compliance Auditor

  2. #2
    Join Date
    Apr 2007


    follow guidelines for modifier 25:
    CPT modifier -25 is used when, on the day a procedure or service was performed, the patient’s condition required a significant, separately identifiable evaluation and management (E&M) service above and beyond the other service provided or beyond the usual preoperative and postoperative care associated with the procedure that was performed.

Similar Threads

  1. E/M for Wound Care
    By clbarry8033 in forum E/M
    Replies: 2
    Last Post: 08-18-2015, 07:02 AM
  2. Wound Care
    By Sparky79 in forum General Surgery
    Replies: 3
    Last Post: 11-28-2012, 01:56 PM
  3. wound care
    By Tonyj in forum E/M
    Replies: 0
    Last Post: 11-22-2011, 05:13 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.