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Christensen, S.M

initial and each additional lesion

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But if you report any other E/M code on the same day of service, and properly append modifier 25 Significant, separately identifiable evaluation and management service by the same physician or other qualified health care professional on the same day of the procedure or other service to indicate a significant, separately identifiable E/M service was provided, the claim may be paid

So, be aware of it

Its the professional standard for a reason