Wiki Medicare denials

[Thouvenel]

If a patient is consulted with a specialist on one day, the specialist performs the surgery the subsequent day, is the "consult" considered a pre op or can he expect reimbursement? Since consults are not billed any longer, I'm not sure what the correct answer is.

 

[dseyfried]

If the surgeon made decision for surgery on the initial day then he can bill it with a 57 modifier and will get paid.

 

[Thouvenel]

Thank you Debra, it appears I left off the 57 modifier after going back and checking the claim.