Wiki Need clarification on 86580

[mreed63]

I use this code to bill for PPD skin tests and the follow up read, 72 hours later. Does this code include the reading of the test, or no? I was always told that it included the reading because that is part of the testing process. So, I have never billed an E/M for the reading, for that reason. I'm wondering if it is a correct coding practice to bill an E/M for the reading of the test.

I welcome any insights anyone has to offer!

 

[MarcusM]

In my experience in the pediatric business, the followup was part of the visit and the testing...typically the patient would pop in, show the site and leave. No second visit, no E&M. Occasionally the patient would have some other illness and would be seen for that.