Indiana Subscriber
Answer: If your documentation includes evidence that supports both services, you can report both codes. Follow these steps to filing the claim:
Step 1: Report one of the following codes, depending on the destruction method:
Step 2: Report 99243 (Office consultation for a new or established patient, which requires these three key components: a detailed history; a detailed examination; and medical decision making of low complexity) for the consultation.
Step 3: Append modifier -25 (Significant, separately identifiable evaluation and management service by the same physician on the same day of the procedure or other service) to show that the consult and the cauterization were significant, separately identifiable services.
Remember: Attach modifier -25 to E/M codes only; the mod is not designed for use with any procedure or surgical codes.