obinna Posted Wed 17th of December, 2014 14:12:57 PM
A pediatrician sees an 8 day old patient for feeding problem, conjunctival hemorrhage, umbilical granuloma and a well child visit.
1.) Pediatrician chooses office visit code 99213 for feeding problem (783.3) and conjunctival hemorrhage (372.72).
2.) Chooses preventive code 99381 (because it's a new patient) for well child (V20.2).
3.) And chooses procedure 17250 for umbilical granuloma (771.4).
This is what I came up with:
99213(modifier 25)-783.3, 372.72
Is that right? Does a modifier have to be appended to 17250?
SuperCoder Answered Wed 17th of December, 2014 14:35:43 PM
Thanks for your question. If the patient was scheduled for the well-child visit and the provider then addressed the problems along with the cauterization, then yes the coding choices you have selected are correct. A modifier is not needed with 17250. Hope this helps.