Pam Warren
True Blue
If a surgeon who is on call is called into the OR to assist or perform co-surgery (depending on the documentation), and either an -80 or -62 is appended, do these modifiers also assume that this surgeon is responsible for "surgical care only", or would we also need to append the -54? In this case, the surgeon is of a different sub-specialty and also from a different practice, so the primary surgeon of record would be responsible also for the pre- and post-operative work. In my mind, that's the difference.
Because the -54 modifier is related to decreased revenue (and I have a hot and heavy meeting coming up), I wanted to make sure I was thinking along the correct lines in suggesting that we also must append the -54, but I wanted to hear from others who might also have this kind of situation.
Any links or references to regulatory guidance that speaks specifically to this scenario is appreciated.
Thanks everyone and happy new year. Pam
Because the -54 modifier is related to decreased revenue (and I have a hot and heavy meeting coming up), I wanted to make sure I was thinking along the correct lines in suggesting that we also must append the -54, but I wanted to hear from others who might also have this kind of situation.
Any links or references to regulatory guidance that speaks specifically to this scenario is appreciated.
Thanks everyone and happy new year. Pam