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hospital fu

JHCARR

Guest
Messages
31
Best answers
0
Dr A visited the pt in the hospital. Pt had chest pain. He dicided a cath was need
with poss stent. Review Risks and Benefits with the pt.
Dr B Did the Cath.
Dr C did the Stent.

All are in the same practice. Dr A saw the pt as a hospital fu and decision was made
to do a cath based on that visit.

Can I code Dr A hospital visit and what modifer could I use... 25 0r 57

I feel he should not lose this Hospital sub visit.

Thank you for your help
 

Jess1125

Expert
Messages
403
Location
Green Bay
Best answers
0
Dr A visited the pt in the hospital. Pt had chest pain. He dicided a cath was need
with poss stent. Review Risks and Benefits with the pt.
Dr B Did the Cath.
Dr C did the Stent.

All are in the same practice. Dr A saw the pt as a hospital fu and decision was made
to do a cath based on that visit.

Can I code Dr A hospital visit and what modifer could I use... 25 0r 57

I feel he should not lose this Hospital sub visit.

Thank you for your help
From the situation you describe I feel Dr. A can bill for his visit separately. A -25 modifier would be appropriate because cath/stenting has a "0" day global. -57 modifier is reserved for the procedures with a 90 day global.

Jessica CPC, CCC
 

JHCARR

Guest
Messages
31
Best answers
0
hOSPITAL fu

That is what I was thinking as well. I did not think the 57 modifer fit this,
and did not want him to lose the hospital visit since the decision was made on
the sub visit.

Thank you for your help.

Janice
 
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