When is an Evaluation and Management service eligible for payment in relation to routine foot care?
Medical care provided on the same day as routine foot care by the same doctor for the same condition is not eligible for payment except if it is the initial E&M service performed to diagnose the patient’s condition or if the E&M service is a significant separately identifiable service. In this case, the modifier 25 must be reported with the E&M service and the medical records must clearly document the E&M service.
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