tci General Surgery Coding Alert - 2000 Issue 11

Reader Question: E/M and Lesion Removal

Question: Patients frequently are referred to our office for evaluation of skin lesions. Occasionally, these lesions are removed or biopsied using a punch biopsy. Can we bill an E/M code in addition to a procedural code on the same day?New York SubscriberAnswer: You may, in certain circumstances, report both an evaluation and management (E/M) code and a procedural code, says C.J. Wolf, MD, CPC, senior coding consultant at Intermountain Health Care, a multispecialty practice in Salt Lake City. When it is appropriate, modifier -25 (significant, separately identifiable evaluation and management service by the same physician on the...

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