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E/M is separately billable when: Youre evaluating a new wound in addition to treating an existing one Youre managing comorbidities that significantly affect wound healing (diabetes control, infection management, vascular issues) The visit involves substantial evaluation beyond the decision to perform the procedure E/M is NOT separately billable when: Youre just examining the wound before debriding it The evaluation is minimal and directly related to deciding whether to debride Youre documenting routine wound status as part of the procedure Documentation requirements for E/M with modifier 25 Document the E/M service separately from the procedure note

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