Carroll1220
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Good evening!
I was wondering if I would need to add a modifier 55 to 99214 when a patient followed up with her PCP after a cholecystectomy. The PCP did not have a transfer of care. He just encourages his patients to see him any time they have a hospital visit so he can review things with them.
When I looked this up on CMS.gov, they state:
Exceptions to the Use of Modifiers ?-54? and ?-55?
Where a transfer of care does not occur, occasional post-discharge services of a physician other than the surgeon are reported by the appropriate E/M code. No modifiers are necessary on the claim.
So would I or would I not add a modifier? The patient is following up with the surgical office, too.
Thank you so much for your help! It is so appreciated!
Noelle
I was wondering if I would need to add a modifier 55 to 99214 when a patient followed up with her PCP after a cholecystectomy. The PCP did not have a transfer of care. He just encourages his patients to see him any time they have a hospital visit so he can review things with them.
When I looked this up on CMS.gov, they state:
Exceptions to the Use of Modifiers ?-54? and ?-55?
Where a transfer of care does not occur, occasional post-discharge services of a physician other than the surgeon are reported by the appropriate E/M code. No modifiers are necessary on the claim.
So would I or would I not add a modifier? The patient is following up with the surgical office, too.
Thank you so much for your help! It is so appreciated!
Noelle