cmoon
Contributor
Can someone please help me with modifier 55? The following is a note from the clinic that we bill for and we have conflicting opinions on it. They are a family practice clinic. They originally coded a 99232 but then changed it to 99221 - 55 which conflicts with her note. Any opinions?
Pt admitted to OBS via ER on 12/19/11, then to IP on 12/20/11. Pt had surgery on 12/20/11 via the surgeon. UWFM was asked to manage the patient BP per the surgeon, this visit would not be the patient's initial IP visit, it would be a subsequent IP visit. Since the patients previous IP visits would be covered under the surgical global fee, added 55 modifier to let the insurance company know we are following “postoperative management only”.
Pt admitted to OBS via ER on 12/19/11, then to IP on 12/20/11. Pt had surgery on 12/20/11 via the surgeon. UWFM was asked to manage the patient BP per the surgeon, this visit would not be the patient's initial IP visit, it would be a subsequent IP visit. Since the patients previous IP visits would be covered under the surgical global fee, added 55 modifier to let the insurance company know we are following “postoperative management only”.