tci E/M Coding Alert - 2018 Issue 3

Reader Question: Document E/M Service With This Injection Encounter

Question: Encounter notes indicate that the provider performed a level-three evaluation and management (E/M) service for a new patient, and then performed a tendon sheath injection. How should I report this encounter? Arkansas Subscriber Answer: You'll most likely report 20550 (Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar "fascia")) for the injection. For the E/M service, you'll report 99203 (Office or other outpatient visit for the evaluation and management of a new patient, which requires these 3 key components: A detailed history; A detailed examination; Medical decision making of low complexity ...) with modifier 25 (Significant, separately identifiable...

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

demo
request yours today
 subscribe
start today
 newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.