Wiki Billing Botox and E/M code same day

[lsmorris]

I am wondering...if a physician sees a patient performs an office visit for migraines (med review/update) and then performs Botox (64615) for migraines. Can an e/m code be billed with a 25 modifier?

 

[ellzeycoding]

64615 is a minor surgical procedure... 10 postop days. The E/M that leads to the decision to perform the botox for the migraines is INCLUDED in the chemodenervation and cannot be billed for separately. An E/M can be billed for a separate or unrelated matter.