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Medicare Compliance & Reimbursement

Reader Question:

You Can Now Use Modifier PD

Published on Wed Oct 10, 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 the hospital within 3 days even though we are a freestanding facility and not operated by a hospital?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 non-diagnostic 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 relevant [...]
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