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Post op care by another MD

M

MWatkins858

Expert
Messages
387
Location
Joshua Tree, CA
If doctor #1 performs the surgery, and doctor #2 (not in the same practice) who is on call for the #1 sees the patient for routine post op care within the 90 day global period, can doctor #2 charge anything for this visit?
 
Robbin109 said:
If doctor #1 performs the surgery, and doctor #2 (not in the same practice) who is on call for the #1 sees the patient for routine post op care within the 90 day global period, can doctor #2 charge anything for this visit?
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Modifier 55 with the surgery code could possibly be billed by doctor #2, to indicate that he is performing the post-op care only. However, unless this situation was discussed and agreed upon by both doctors prior to the surgery, and doctor #1 billed the surgery with modifier 54, it will probably be hard to get paid; it is likely that doctor #1 has already been paid for the entire global surgery package. Hope this helps!
 
Robbin109 said:
There is no agreement between them. Doc #2 was just covering for doc #1 for a brief period and saw the pt only once. Doc #2 is not going to continue to see the pt.
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That's usually how it goes. I haven't been able to find a way to get around that, sorry. Hopefully someone else will have more info. :confused:
 
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