halebill
Guest
Does anyone have experience with modifiers 54 and 55? I am looking for specific guidelines on when the use of modifier 54 is allowed. I understand it unbundles the surgical package to represent surgical care only. Aside from the scenarios such as: Surgeon A sending his patient to Surgeon B because Surgeon A does not perform a particular procedure, or a patient is injured far from home, has a procedure and returns home for follow up care, or an ED surgeon appending modifier 54 because he only works in the ED and does not furnish follow up care, can modifier 54 be used in an urgent care setting, by a physician who performs a fracture treatment (with manipulation), but then refers the patient to an orthopedist for follow up care?
Thanks.
Bill Hale, CPC
Thanks.
Bill Hale, CPC