Evaluation And Management
Chapter 2
Section 1.2
Office Visits With Surgery
Issue Date: March
1, 1996
Copyright: CPT only © 2006
American Medical Association (or such other date of publication
of CPT).
All Rights Reserved.
Revision:
1.0 CPT PROCEDURE
CODE RANGE
99201 - 99215
2.0 DESCRIPTION
When
surgery is performed at the time of the office visit.
3.0 POLICY
When
a surgical procedure is performed at the time of an office visit,
both the office visit and the surgical procedure are covered when
modifier 25 is used as the basis for this situation (indicates that
the patient’s condition required a significant, separately identifiable
Evaluation and Management (E/M) service above and beyond the usual
preoperative and postoperative care associated with the procedure
that was performed). If the modifier is not used, the charge for
the office visit is to be denied.
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