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Wiki 57 modifier

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sorcha48

Networker
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71
Location
Gladwin, MI
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If during surgery an intraoperative consult results in a procedure performed by a different surgeon, should an E?M code with the modifier 57 be used for the 2nd provider?

I am getting a little obsessed with the use of the word "inital" in the description.
 
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sorry, I am thinking about this scenario and I am not an expert. so, the pt is under surgery performed by MD1, under anesthesia. MD2 from a different specialty comes in and provides intrraOp consult that results in a procedure performed by MD2. I think there is no e/m because pt didn't communicate with the MD2 but we can bill for procedure by MD2. IF MD2 is the same specialty, ... same rational, pt didn't communicate with MD, so no e/m.
 
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