pattie1811
New
Help! I am sooo confused
I spoke to Jason & Dorothy at Medicare today I have been advised by both do not use modifier 51 at all. I also asked if two hosp or office E/M codes are charged the same day by same provider they said use 76 and if the 2 E/M codes are charged by 2 different providers same day use 77. It doesn't matter if the e/m codes don't match exactly.
I have multiple providers:
Dr. A is at the hospital from 6:00 A.M. to 6:00 P.M and he see's Mrs. Smith for a 3/15/2008 99233 at 10:00 A.M.
Dr. B is at the hospital from 7:00 P.M. to Midnight, and he see's Mrs. Smith for a 3/15/2008 99233 at 8:00 P.M.
What would be the appropriate modifier to bill for both the 99233, same day, different providers.
Also, Modifier 51 is still valid / active correct? The medicare rep said to stop using it.
My doctors will do multiple procedures in the hospital.
Example: Same day all three procedures, is 51 correct?
31629
31628-51
31623051
Greatly appreciate any help
I spoke to Jason & Dorothy at Medicare today I have been advised by both do not use modifier 51 at all. I also asked if two hosp or office E/M codes are charged the same day by same provider they said use 76 and if the 2 E/M codes are charged by 2 different providers same day use 77. It doesn't matter if the e/m codes don't match exactly.
I have multiple providers:
Dr. A is at the hospital from 6:00 A.M. to 6:00 P.M and he see's Mrs. Smith for a 3/15/2008 99233 at 10:00 A.M.
Dr. B is at the hospital from 7:00 P.M. to Midnight, and he see's Mrs. Smith for a 3/15/2008 99233 at 8:00 P.M.
What would be the appropriate modifier to bill for both the 99233, same day, different providers.
Also, Modifier 51 is still valid / active correct? The medicare rep said to stop using it.
My doctors will do multiple procedures in the hospital.
Example: Same day all three procedures, is 51 correct?
31629
31628-51
31623051
Greatly appreciate any help