tci E/M Coding Alert - 2016 Issue 5

Reader Question: Think Before Coding E/M with Every Surgery

Question: Can I charge for a 99213 and a 17250 on the same day at the same visit if I add modifier 25? The procedure was not scheduled prior to the office visit. Ohio Subscriber Answer: If your physician’s documentation supports a significant, separately identifiable E/M service, you can report 99213 (Office or other outpatient visit for the evaluation and management of an established patient …) and 17250 (Chemical cauterization of granulation tissue [proud flesh, sinus or fistula]). However, since Correct Coding Initiative (CCI) edits bundle the E/M code with the procedure code, you will have to...

To read the full article, sign in and subscribe to tci E/M Coding Alert.


Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.

  • Current newsletters added each month
  • Fully searchable archives - over 500 articles
  • ALL years/issues back to 2013 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci E/M Coding Alert +Archives

free demo
request yours today
pricing
for any budget
sign IN
welcome back!