Gastroenterology Coding Alert

Modifier:

Modifier 62 Eases Your Multi-Provider Coding Dilemma

Your CPT should jive on both physician's notes, or else you can bid your claim goodbye.When you come face-to-face with a multi-provider situation, the last thing you would want is to mess up your coding by assigning the wrong modifier(s). Modifiers can be a friend or a foe, depending on how you use them -- or when you use them.Scenario: Gastroenterologist X is the primary caregiver for a patient with severe weight loss. He goes to the hospital to meet the patient, who is weak from starvation. With the help of Gastro Y, Gastro X inserts a PEG tube.The main key in a multi-provider scenario is to treat each physician's work as a separate activity. However, deciding when to report a case as co-surgery, assistant surgery -- or something else --" has more to it than meets the eye. Find out what with this expert's advice.Modifier 62, 81, 82 and the [...]
You’ve reached your limit of free articles. Already a subscriber? Log in.
Not a subscriber? Subscribe today to continue reading this article. Plus, you’ll get:
  • Simple explanations of current healthcare regulations and payer programs
  • Real-world reporting scenarios solved by our expert coders
  • Industry news, such as MAC and RAC activities, the OIG Work Plan, and CERT reports
  • Instant access to every article ever published in your eNewsletter
  • 6 annual AAPC-approved CEUs*
  • The latest updates for CPT®, ICD-10-CM, HCPCS Level II, NCCI edits, modifiers, compliance, technology, practice management, and more
*CEUs available with select eNewsletters.

Other Articles in this issue of

Gastroenterology Coding Alert

View All