[Expert Solution]: ased on CPT coding guidelines, which…

ased on CPT coding guidelines, which scenario identifies the correct use of modifier 25? A. A gynecologist sees a patient at the request of her primary care physician with multiple lesions on the vulva. the gynecologist performs a history pertinent to the presenting problem. Patient states she was tested at PCP and positive for HSV II. The lesions are determined to be herpes; patient was scheduled for them to be removed. B. A patient came in for a monthly follow up for chronic shoulder pain. Physician reviewed a current series of shoulder X-rays and discusses the patient’s impending return to work. The patient was also complaining of a severe headache. The physician performed a neurological exam and did not find any evidence of vascular or CNS etiology. Discussion of treatment options of OTC medication, and nerve block injections. Physician gave patient referral to Neurologist. C. An OB/Gyn sees a patient who is complaining of severe abdominal pain. The physician obtains a pelvic ultrasound and other diagnostic testing and determines that the patient has a tubal pregnancy. The OB/Gyn decides that laparoscopic surgery will be performed on the same day. D. A patient presents for an annual well woman exam. A complete review of systems is obtained an an interval past, family, and social history is reviewed and updated. A neck-to-knees exam is performed, including a pelvic exam and Pap smear is taken. Counseling is given of diet and exercise. The patient also complains of vaginal dryness, frequent pain with intercourse. Pelvic Ultrasound ordered. Discussion of OTC lubricants. Her prescription for oral contraception is renewed.