Otolaryngology Coding Alert

Question: Would you please explain when we should use modifier 55? I am not clear on what "management" means.If another otolaryngologist, not the physician who performed the surgery, sees a post-op patient and admits him to the hospital during the 42-day global period, is modifier 55 appropriate? Alabama SubscriberAnswer: You should use modifier 55 (Postoperative management only) when your otolaryngologist assumes all of a patient's postoperative care. For instance, if a patient moves after surgery or returns to his local otolaryngologist for postoperative care after a distant otolaryngologist performs the surgery (such as a neck surgery performed at a distant university medical center), you should claim the postoperative component with modifier 55. Nitty-gritty: Modifier 55 actually goes on the surgery code. Suppose a Chicago otolaryngologist performs a mastoidectomy (69501, Transmastoid antrotomy [simple mastoidectomy]) on a patient. The patient, who lives two hours away, chooses to see his local otolaryngologist for [...]