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Wart destruction day 1. Day 3, destruction area has become a painful blister. E&M + 25 first line, I&D second line. Medicaid decides we can't bill both together. I say yes we can.
I don't know what state you're in but CT Medicaid will not pay for an office visit and a procedure won't he same day no matter what modifier you use. This is in their policy manual, you should check the policies in your state.