Modifier 58

wess0808

New
Messages
4
Location
Medford, New Jersey
Best answers
0
Hi,
I am trying to get clarification on the scenerio below:

Our Doctors are in the same group practice, different specialties and bill under the same tax ID number.

The plan of care is as follows: Patient has an endoscopic CABG (LIMA to LAD) than 3 days later goes to the Cath lab for PCI of 2 different vessels. Can we use a modifier 58. The CABG has a 90 day global period. Everything I am reading states staged procedure by the same physician or different physician within the group practice but same specialty.
CT Surgeons and Interventional Cardiologists are not the same specialty. I need some clarification please how the above scenario can be billed.
Any help would be greatly appreciated.
Thank you
 

purplescarf23

Networker
Messages
98
Best answers
0
Have you looked at -79(Unrelated Procedure or Service by the Same Physician During the Postoperative Period)? I have a general surgery clinic that has multiple sub specialties within it and I have this problem all the time.

Kelsey, CPC
 
Messages
4,466
Location
Milwaukee WI
Best answers
0
Different specialty?

If it's a different doctor with a different specialty you should not need any modifier.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Top