thomascollins
Guest
- Messages
- 1
- Best answers
- 0
We are having a debate as to the appropriateness of using the modifier -57 when patients are called in to receive a solid organ transplant (kidney, liver, pancreas). One side of the debate feels the decision for surgery was made when the patients condition has become exacerbated to the point where the patient is placed on the national UNOS waiting list for a transplant. The thought process being the provider made the decision that the patient needed surgery by placing the patient on the list to receive a needed transplant.
The other side of the debate is that when an organ does become available 2 or 3 transplant candidates on the UNOS waiting list are called in. The provider assesses each candidate to determine which patient is best suited to receive the organ donation.
The question is this: Can the provider bill an admission with a -57 modifier on the patient that was called in that receives the organ or is the E&M bundled with the surgery itself? Thanks in advance.
The other side of the debate is that when an organ does become available 2 or 3 transplant candidates on the UNOS waiting list are called in. The provider assesses each candidate to determine which patient is best suited to receive the organ donation.
The question is this: Can the provider bill an admission with a -57 modifier on the patient that was called in that receives the organ or is the E&M bundled with the surgery itself? Thanks in advance.