Ob-Gyn Coding Alert

Answer: You should bill as you have outlined, using 99205 (office or other outpatient visit, new patient; comprehensive history and examination; high- complexity medical decision-making), appending this with the -25 modifier (significant, separately identifiable E/M service by the same physician on the same day of the procedure or other service), along with 57505 (endocervical curettage [not done as part of a dilation and curettage]).

Bear in mind that when using modifier -25, the procedure must meet the definition (significant, separately identifiable), and also that not all insurance companies will pay for an office visit and a procedure on the same day. Provide all the documentation you can, but its best to know beforehand what your carriers will and wont pay for.