I'm hoping to get some experienced pediatric advice with this situation. We have a multispecialty group and just started with pediatrics also. When a child comes in for a well visit and during the visit the physician discovers he has constipation issues. He obtains an HPI and also send the patient for abdominal xray along with prescribing medication. With our internal med docs they bill a routine exam and if a problem is treated during the exam we are told (as long as the criteria is met for the level asside from the routine) we can bill the sick visit with a 25 modifier. The pediatrician is stating that most pediatric problems are part of the routine exam. Can anyone give me some input on this specialty?
Appreciated!!
Appreciated!!