herrera4
Guru
can you bill a mod 57 with an HnP on the same day as surgery?
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Wiki mod 57 - day as surgery
- Thread starter herrera4
- Start date
btadlock1
Guest
RebeccaWoodward*
True Blue
Brandi,
I think the poster means H&P...
Yes...if this is a major surgery and the need for surgery was made the day of/day before, the H&P is billable. You would need to add modifier 57 to your E/M code.
B. Services Not Included in the Global Surgical Package
"The initial consultation or evaluation of the problem by the surgeon to determine the need for surgery. Please note that this policy only applies to major surgical procedures."
http://www.cms.gov/manuals/downloads/clm104c12.pdf
Section: 40.1
I think the poster means H&P...
Yes...if this is a major surgery and the need for surgery was made the day of/day before, the H&P is billable. You would need to add modifier 57 to your E/M code.
B. Services Not Included in the Global Surgical Package
"The initial consultation or evaluation of the problem by the surgeon to determine the need for surgery. Please note that this policy only applies to major surgical procedures."
http://www.cms.gov/manuals/downloads/clm104c12.pdf
Section: 40.1
herrera4
Guru
sorry --history and physical