modifier 55

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    Wiki Modifier 55 NIGHTMARE

    Can anyone please tell me how to get a claim paid when using modifier 55? We had a patient who came in as post operative management care after having ORIF on tibia out of state. According to Medicare guidelines you are to bill the procedure using date of procedure with modifier 55 and place of...
  2. P

    Wiki Modifiers in post op/global periods.

    Hi This week I really feel like I need to attend modifier school. Please clarify for me in layman terms. When any type of procedure that has a global period, and another provider other than the one doing procedure (but of same field) you can charge a subsequent E/M as long as you add a...
  3. S

    Wiki fracture care question

    A patient is seen by another provider at a different practice and a cast was applied and a fracture care code billed. the patient called our practice and wants to make an appointment to be seen. How would be bill this? Can we bill an office visit even though she is currently in a global...
  4. A

    Wiki Modifier 55 payment reduction

    Does anyone know what Medicare pays when you use a modifier 55? I've searched everywhere. I know it's discounted due to only assuming post op care but trying to find out how much. Thank you!
  5. R

    Wiki Renea,CPC

    When attaching modifier 55(post op care only) to a procedure code, what is the percentage for reimbursement?
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