kewing
Networker
Hi All.
Looking for some assistance with this situation. Non-medicare patient, 88331 global is billed by one physician. Slides sent to outside pathologist (not in the same group as the original physician) for an opinion. Pathologist bills 88331-26-77. Insurance does not like -77; says we need a specific modifier to get this paid (of course, not divulging the secret modifier). I'm inclined to use modifier -59, but I have never tried to use it when different physicians are performing the same procedure.
I appreciate any and all answers.
Thanks.
Karen
Looking for some assistance with this situation. Non-medicare patient, 88331 global is billed by one physician. Slides sent to outside pathologist (not in the same group as the original physician) for an opinion. Pathologist bills 88331-26-77. Insurance does not like -77; says we need a specific modifier to get this paid (of course, not divulging the secret modifier). I'm inclined to use modifier -59, but I have never tried to use it when different physicians are performing the same procedure.
I appreciate any and all answers.
Thanks.
Karen