charging for reviewing pathology reports

ssjm20

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One of my physicians was told recently by an auditor that he could bill separately for reviewing a patients pathology for a lesion excision, even within the post operative period. Has anyone heard this and what modifier would you use?
 

mbort

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hmm.....I would request the documentation to support that from the auditor. If you get it, posting it here would be a great asset. I was taught that this inclusive, but would love to be wrong!
 

jnurge

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26 mod

Typically it would be a 26/pc mod. You should check with your insurance companies to see how it would/should be documented.
 
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