skm510@live.com
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If we see a pt in the ER and decide to do an emergent appendectomy on them can I use a 99218-99220 E/M plus bill for the procedure? or would it be considered global?
I have always used the -57 modifier in the past when I was coding for cardiothoracic. However, in my current position I was told I had to use the observation codes if the pt is not in the hospital for 24 or more hrs, which i did not think you could use the mod -57 with these codes and I was told I could not use the initial in pt codes due to the less than 24 hr deal and they are not really admitted as in pt's these procedures go to ambulatory sx... any furhter clarification would be appreciated.