Wiki Out of state surgery

[JThomsett]

If a patient has surgery out of state but lives in our state so will be here for post operative care, do we charge for office visits? This is confusing! Thank you!

 

[mitchellde]

For surgical post op when the surgery is performed by a surgeon in a different office or locale you need a transfer of care from the surgeon indicating that he is transferring post op to your provider and you bill using the surgical code and the 55 modifier

 

[Peter Davidyock]

It would not be appropriate to charge for an office visit if the physician only documents post op surgical care. Debra is correct, you bill the procedure code with the -55 modifier. Additionally your date of service must be the date of the surgery, not the date you are seeing the pt.

 

[JThomsett]

Thank you!