tci E/M Coding Alert - 2017 Issue 6

Reader Question: Correctly Report Tick Removal

Question: An established patient who has been experiencing pain and itching and noticed a tick embedded in his right shoulder came into our office. The physician removed the whole tick, which was still alive. The physician sent the tick to a lab for testing, and she requested blood work for the patient. How should I code this? Colorado Subscriber Answer: If the physician did not have to remove the tick with incision, you should include the service in the appropriate-level E/M code such as 99212 (Office or other outpatient visit for the evaluation and managementof an established patient, which...

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