Wiki charging for reviewing pathology reports

[ssjm20]

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]

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]

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.