tci General Surgery Coding Alert - 2009 Issue 9

Reader Questions: Capture Separate E/M and Debridement

Question: Can you charge for an inpatient consult and a bedside debridement on the same day? Louisiana Subscriber Answer: You can bill for both services as long as the E/M service goes beyond a simple assessment of the area to be treated. Remember to append modifier 25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of a procedure or other service) to the inpatient consultation code (99251-99255, Inpatient consultation for a new or established patient &) you report to inform the payer that the surgeon provided a separate E/M service above...

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