Shade Posted Mon 10th of November, 2014 14:35:02 PM
pt was seen for foot pain and closed treatment of metatarsal fracture without manipulation was done. can the procedure be included in the E&M visit code or it can be coded separately with modifier 25. please help.
SuperCoder Answered Mon 10th of November, 2014 14:53:14 PM
Thanks for your question. In this case, you may use a modifier 25 with your office visit if the visit represents a significant and separately identifiable visit in addition to the treatment of the fracture. Make sure that your documentation supports a need for the E/M visit on the same day as the treatment of the fracture. Hope this helps.