Wiki OV and procedure

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rbbrigman

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How would you code (and probably be paid) on an office visit with an incision and drainage of an abcess?

99212
10061-59

Is what I put
Suggestions?
Thank you for all the help ya'll give me.
Robin
 
Modifier -25

Modifier -25 is use to identify a signifiant, separately identifiable E/M service.

The reimbursement for any procedure (including 10061) INCLUDES the basic evaluation of the condition prior to performing the procedure.

Without seeing the actual notes, I cannot tell you whether using a -25 modifier is appropriate in this situation.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
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