Wiki Confusing myself

[mbort]

My doc saw a patient in the office, treated the patient for fx fingers (FA/F4) (26750 x2). The patient also sustained a tendon laceration that required him to go the the OR later that same day.

For the office visit we billed:
99203-57
26750-FA
26750-59-F4

Would the appropriate modifier be 58 for the procedure performed elsewhere on the same day?
26418-58-F4

 

[LynnS.321]

Yes, if the surgery was on the same finger and the patient had to have a more extensive procedure. I probably wouldn't have charged the first fracture code if having surgery the same day, but that is up to the doctor.
If on a different finger a 79 is the appropriate modifier.
Hope this helps.
Lynn Spille, CPC