coding modifier help ...please!

eferris

Contributor
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this scenerio was billed out for one of our patients


92004/25
68761/RT
68761/LT


The patient then came back 7 days later complaining of pain and itchiness (forgive the spelling) and the doctor rebilled the same scenerio. I cant decide what modifier to use for these codes. I hesitate to put the 24 on the 92004 since she is comming in for a complication of the procedure. the modifiers i have come up wtih for the 68761 are either 58, 78, or 76. Any other sugestions? Any help would be greatly appreciated.
 

smarcolina

Networker
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Your original encounter was billed correctly. After the patient came back 7 days later, it is not clear what the Physician did for the patient other than a visit. CPT code 68761 has a post op period of 10 days. You would not bill for a complication from the code in this period. If the patient came back for something unrelated to the code in the post op period such as a laceration you would use an established patient CPT code such as 92012-24 with the 24 modifier. Hope this helps.
Sharon
 
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