mcarrillo
Networker
Hello,
This question has probably been asked before, but one of our doc's saw a pt in the office, 99203 and scheduled him for surgery the next day in the hospital, (pt stayed in hospital for 3 days). The doctor states that he "will perform the surgery tomorrow". Can I add a 57 modifier to the 99203, or is it included? I ask because I'm getting conflicting answers. When I read the CPT book, in the Hospital Inpatient Services section, it states "When pt is admitted to hospital as an inpt in course of an encounter in another site of service (eg, ....physicians office...) all E/M services provided by physician in conjunction with that admsssion are considered part of the initial hosp care when performed on the same date as the admission". But in the Surgery Guidelines section for surgical package definition it state "Subsequent to the decision for surgery, one related E/M encounter on the date immediately prior to or on the date of procedure..." as an included service.
So now I'm a confused. Any information would be greatly appreciated.
Thanks
This question has probably been asked before, but one of our doc's saw a pt in the office, 99203 and scheduled him for surgery the next day in the hospital, (pt stayed in hospital for 3 days). The doctor states that he "will perform the surgery tomorrow". Can I add a 57 modifier to the 99203, or is it included? I ask because I'm getting conflicting answers. When I read the CPT book, in the Hospital Inpatient Services section, it states "When pt is admitted to hospital as an inpt in course of an encounter in another site of service (eg, ....physicians office...) all E/M services provided by physician in conjunction with that admsssion are considered part of the initial hosp care when performed on the same date as the admission". But in the Surgery Guidelines section for surgical package definition it state "Subsequent to the decision for surgery, one related E/M encounter on the date immediately prior to or on the date of procedure..." as an included service.
So now I'm a confused. Any information would be greatly appreciated.
Thanks