btadlock1
Guest
I don't think I should need a modifier, but I can't be sure, so I wanted to check...
Patient comes in and sees Dr. A, and has laceration repair on their left shin. It's reported as: 99202/25, 12004/LT.
3 days later, he comes back in with another cut on the same shin, in pretty much the same place. This time, Dr. B (who has the same specialty and tax ID), performs the services. According to the chart, the correct CPT's are 99212/25, 12002/LT.
My question is, do I need any type of modifier on 12002, since it falls within the global period for 12004, and the patient was treated by another MD in the same group practice? I can't find any indication that I should need one, but this payer is extremely picky, and I'm probably going to have a hard time getting the second DOS paid as it is. Any input is appreciated!
Patient comes in and sees Dr. A, and has laceration repair on their left shin. It's reported as: 99202/25, 12004/LT.
3 days later, he comes back in with another cut on the same shin, in pretty much the same place. This time, Dr. B (who has the same specialty and tax ID), performs the services. According to the chart, the correct CPT's are 99212/25, 12002/LT.
My question is, do I need any type of modifier on 12002, since it falls within the global period for 12004, and the patient was treated by another MD in the same group practice? I can't find any indication that I should need one, but this payer is extremely picky, and I'm probably going to have a hard time getting the second DOS paid as it is. Any input is appreciated!
