Wiki E/M and cosmetic procedures

[salorn88@aol.com]

What is the appropriate way to handle this?

Patient comes in and is diagnosed with and irritated wart... patient decides they want it removed even though it is not medically necessary for shave removal...but they want it anyways. MD decides to perform cosmetic procedure for the patient and removes it anyways and charges patient for cosmetic procedure but also wants to charge insurance for the office visit. How should this be billed?

 

[mitchellde]

you can bill the office visit with the wart dx code liniked plus a 25 modifier. Then bill the procedure and link it to the V50 dx code, the payer should then deny the procedure but pay the visit.