abazcoder
Networker
Hi all,
I work in Orthopaedics and have a question on the use of 57 modifier
We had a patient who was admitted to the hospital (after going through the ER)
Our doc went and provided an inpatient consult at the requst of the hospitalist for the patient (who had slipped, fallen & fractured her leg)
Our doctor completed the consult and said "surgery"....
however, the patient was not medically cleared for another 5 days (due to irregular blood tests that came back initially).
but 5 days later the surgery was performed.
Our charges for this inpatient consult were denied as "global"---
which I understand given the guidelines for pre-op visits in the global package...
However, this exam happened 5 days before the surgery,,,,not the day before or day of the surgery...
could I not append a 57 mod and send the corrected claim back with doctor's notes showing that was when the decision for surgery was made?
Thank you all
Thank you
I work in Orthopaedics and have a question on the use of 57 modifier
We had a patient who was admitted to the hospital (after going through the ER)
Our doc went and provided an inpatient consult at the requst of the hospitalist for the patient (who had slipped, fallen & fractured her leg)
Our doctor completed the consult and said "surgery"....
however, the patient was not medically cleared for another 5 days (due to irregular blood tests that came back initially).
but 5 days later the surgery was performed.
Our charges for this inpatient consult were denied as "global"---
which I understand given the guidelines for pre-op visits in the global package...
However, this exam happened 5 days before the surgery,,,,not the day before or day of the surgery...
could I not append a 57 mod and send the corrected claim back with doctor's notes showing that was when the decision for surgery was made?
Thank you all
Thank you