Orthopedic Coding Alert
Reader Question:
Arrange Follow-Up with Original Surgeon
Published on Tue Apr 11, 2017
Question: We have taken over post operative care on a patient who had surgery from another physician. We want to be sure we are billing only the post-op care. Do we bill same codes as used the first surgeon with 55 (Postoperative Management Only) modifier? New York Subscriber Answer: The only time you can bill a surgical procedure with modifier 55 is if the first clinician who performed the procedure billed his charges with modifier 54 (Surgical Care Only). Your follow-up care needs to be arranged with the original surgeon. Check if this has been done.
Related Articles
Other Articles in this issue of
Orthopedic Coding Alert
- CPT® 2017:
Have You Noticed a Difference to Your Bottom Line? Blame These Percutaneous Spinal Procedure Revisions
You should be separately billing for moderate sedation with percutaneous vertebral procedures. 2017 brought some [...] - Separate Procedures:
2 Examples Sharpen Your Separate Procedure Claims
CCI is an important tool when you are not sure about a bundle. You shouldn’t [...] - Telehealth:
Always Ace Coding for Your E/M Telemedicine Services
Don’t forget POS code 02 on your telemedicine claims. With CPT® 2017, you’ve gained several [...] - ASCs:
3 Tips Analyze Your ASC Coding Rules
Here’s how to properly use modifier SG. Suppose you bill Medicare when your surgeon treats [...] - You Be the Coder:
Check Out Whether Unlisted-Procedure Codes Have Global Days
Question: I was wondering, does Medicare assign a global period for unlisted-procedure codes? For instance, if [...] - Reader Question:
Beware Modifier 'Solutions'
Question: When we see a claims denial in our practice, some of our staff is quick [...] - Reader Question:
Arrange Follow-Up with Original Surgeon
Question: We have taken over post operative care on a patient who had surgery from another [...]
View All
