Reader Question:
Understand When to Append Modifier PD
Published on Thu Dec 20, 2012
Question: Please explain to me when to use modifier PD. Does this apply to us when a patient comes in for an exam and is admitted to hospital within 3 days even though we are a freestanding facility and not operated by a hospital? Dakota Subscriber Answer: If the entity you’re coding for is not wholly owned or operated by a hospital, then you don’t need to append modifier PD (Diagnostic or related nondiagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days). On the other hand, those entities (practices, etc.) that are wholly owned or operated by a hospital and that provide any diagnostic or related non-diagnostic services to a patient who is admitted to that hospital within three days must append modifier PD to the codes for those services. They must apply the modifier to [...]
