Barrister
Guest
We used modifier 57 along with E/M 99222. CMS denied payment. We appealed their audit by providing documents showing emergency findings which led to a procedure the next day. We also referenced CMS Publication 100-04; Chapter 12 in Section 40.1(B) “Services Not Included in the Global Surgical Packages…. may be paid for separately.” CMS still denied. Please provide suggestions? tips ? Thank you Kate