I code ER facility and now new to coding ER professional fee. I know on the facility side you can code an E/M level with Mod 25 for a procedure, say a laceration repair. But I'm getting mixed info on if you can code the E/M with a laceration repair for the physician fee/billing in the ER. Since nearly every ER visit the patient is new it would seem that the E/M would always be coded because each patient has to be evaluated and history taken before any decision is made for tests and/or treatment. So my senario would be: patient comes in to ER with a finger laceration. The doctor examines and evaluates the patient and repairs the laceration and sends patient home. would it be correct to code the laceration repair and the E/M level with Mod 25????? Please advise!! Thanks much!