Modifier Coding Alert
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Call Yourself a Modifier 54 and 55 Pro with Help From This Chart
Published on Fri Jun 13, 2014 
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Answer questions with a yes or no to learn how to bill surgical and postsurgical services.
When your physician coordinates a patient’s surgical care with another provider, knowing which modifier to use for proper payment can get confusing.
Attaching modifiers 54 (Surgical care only) and 55 (Postoperative management only) to the appropriate surgical code for the appropriate provider is no longer a mystery for you if you keep this chart handy for whenever you need it in split care situations.
Other Articles in this issue of
Modifier Coding Alert
- Surgery Modifiers:
Focus on Who Did What When Choosing Modifier 54, 55, or 56
Ensure a transfer of care before attaching the modifier. When one of your physicians is [...] - Clip and Save:
Call Yourself a Modifier 54 and 55 Pro with Help From This Chart
Answer questions with a yes or no to learn how to bill surgical and postsurgical [...] - ASC/Hospital Outpatient:
Focus on Whether Anesthesia Was Used to Reveal the Correct Modifier
Bring in 50-100 percent of reimbursements with anesthesia services. As an ambulatory surgery center (ASC) [...] - You Be the Coder:
Wrestle With the ABCs of ESA Services
Question: Whenever I use modifier EA with J0881 or J0885, my claim is denied. The same [...] - Reader Question:
Choose PT or 33 Depending on the Screening Findings
Question: A 67-year-old Medicare patient at average risk for colorectal cancer reports to the surgeon for [...] - Reader Question:
Add a Modifier to Resident Charges in a Clinic
Question: Does modifier GC need to be added to all of the charges (such as E/M, [...] - Reader Question:
Don't Forget Modifier QW with Waived Tests
Question: How do I get paid for a CLIA-waived test? Medicare is denying the test for [...] - Reader Question:
Partner GV and GW for Some Hospice Services
Question: I’ve always just used one or the other of modifiers GV and GW even though [...]
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