SurgiStrategies:Surgical Modifier: Reducing Misuse and Claim Denial

Surgical modifiers was the topic in a recent Surgi Strategies article authored by AAPC member Alice Marie Reybitz, RN, BA, CPC, CPC-H, CPC-I, CHI. “We send staff to seminars and conferences to stay on top of the latest and greatest procedures, the codes that go with them, and the computer software to assure that we are doing it all correctly. We do not, however, spend enough time in the education of the primary surgical modifiers.”

Reybitz discusses modifiers 54, 55, 56 and 57 specifically as the often overlooked modifiers.

Read the full article here.

One Response to “SurgiStrategies:Surgical Modifier: Reducing Misuse and Claim Denial”

  1. Leanor Dusek says:

    Modifier 56, preoperative management only. The use of this modifier says that this physician or practice was responsible for preparing the patient for the surgery. Modifier 56 is reported when one physician performed the preoperative care and evaluation and another physician performed the surgical procedure.

    Would I use a Mod 56 when the pcp is doing a pre-op clearance visit?

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