Wiki E/M & procedure code

[mrolf]

We have a patient who was seen for shoulder pain & sore rectal area. The patient was given a script for rectal suppositories. Her shoulder was injected and an anoscopic exam was performed. The doctor wants to bill a 99213, procedure code for shoulder injection and anoscopic procedure code. Can a office visit be charged also, because the office visit would be related to the two procedure codes. Please advise. Thanks.

 

[Anita Johnson]

yes!

Yes, all three codes can be billed. Don't forget your modifier on the E/M code (25). Be sure the documentation supports a level 3 exam and each of the surgical procedures. Hope this helps