DecisionHealth, DecisionHealth - 2017 Issue 9 (September)

Limit reporting office visits with debridement codes to rare circumstances

Question: My doctors are concerned that when patients come to our office for wound care (debridement of an ulcer), they are losing money by not being able to bill a separate office visit. I have explained that modifier 25 (Significant, separately identifiable E/M service) has limitations, but their argument is that they may be changing medications, off-loading shoes, orthotics, etc., to accommodate the wound and the area surrounding that. My question is: With enough documentation, can they bill the office visit too?

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