penny48
Guest
I recently took on doing pre-op clearance coding for a Joint Program that does orthopedics, one doctor does the pre-op clearance, another does the procedure, and then either the doctor that did the procedure does the post-op. I attended a webinar and found out that to bill for the pre-op I should be billing the procedure with Modifier 56, the procedcure with modifier 54 and the post-op with modifier 55, and each provider will get a portion of the reimbursement. The webinar host stated this is the most miss coded of all she has audited...anyone heard..my provider for the pre-ops states I should be doing the office visits????