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Coding cpt code 17250 with office visit 99213 and preventive 99381

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.

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