lizzardb
Networker
This topic may be in another post, but I've had trouble finding one to address this:
Scenario #1: If a patient comes into the office, is evaluated for the first time for a new issue(for knee arthritis, for example), and given a steroid injection, is it appropriate to bill the E&M code with a 25 modifier, plus 20610 and the medicine code?
Scenario #2: If that patient comes back in several weeks or months later for the same problem, and is given another injection without being re-evaluated for the arthritis, is it appropriate to bill just the e&m, just the medicine and injection, or both? And if they are re-evaluated, what would be the appropriate codes?
Scenario #3: If a patient comes in for the first time for a new issue(again for knee arthritis), is evaluated and given a Supartz injection that day and scheduled for the subsequent injections, is it appropriate to bill the E&M code with a 25 modifier, plus 20610 and the medicine code? (I know for the subsequent injections, we can only bill the 20610 and medicine code).
Scenario #4: If a patient comes in for the first time for a new issue(again for knee arthritis), is evaluated, and has to return to the office to begin Supartz, can an e&m code be billed with a 25 modifier when he returns to the office to begin?
Any input provided would be greatly appreciated!
Thank you!
Scenario #1: If a patient comes into the office, is evaluated for the first time for a new issue(for knee arthritis, for example), and given a steroid injection, is it appropriate to bill the E&M code with a 25 modifier, plus 20610 and the medicine code?
Scenario #2: If that patient comes back in several weeks or months later for the same problem, and is given another injection without being re-evaluated for the arthritis, is it appropriate to bill just the e&m, just the medicine and injection, or both? And if they are re-evaluated, what would be the appropriate codes?
Scenario #3: If a patient comes in for the first time for a new issue(again for knee arthritis), is evaluated and given a Supartz injection that day and scheduled for the subsequent injections, is it appropriate to bill the E&M code with a 25 modifier, plus 20610 and the medicine code? (I know for the subsequent injections, we can only bill the 20610 and medicine code).
Scenario #4: If a patient comes in for the first time for a new issue(again for knee arthritis), is evaluated, and has to return to the office to begin Supartz, can an e&m code be billed with a 25 modifier when he returns to the office to begin?
Any input provided would be greatly appreciated!
Thank you!