Wiki modifier 78

[Korbc]

Can I use 78 if it was a different physician within our practice?

 

[amyjph]

Usually you would have to if it's the same group practice and EIN, it will get caught in the global of the other provider otherwise.

https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00144546

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/GloballSurgery-ICN907166.pdf

See here: Physicians Who Furnish the Entire Global Package: Physicians who furnish the surgery and furnish all of the usual pre-and post-operative care may bill for the global package by entering the appropriate CPT code for the surgical procedure only. Separate billing is not allowed for visits or other services that are included in the global package. When different physicians in a group practice participate in the care of the patient, the group practice bills for the entire global package if the physicians reassign benefits to the group. The physician who performs the surgery is reported as the performing physician.

 

[Korbc]

Usually you would have to if it's the same group practice and EIN, it will get caught in the global of the other provider otherwise.

https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00144546

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/GloballSurgery-ICN907166.pdf

See here: Physicians Who Furnish the Entire Global Package: Physicians who furnish the surgery and furnish all of the usual pre-and post-operative care may bill for the global package by entering the appropriate CPT code for the surgical procedure only. Separate billing is not allowed for visits or other services that are included in the global package. When different physicians in a group practice participate in the care of the patient, the group practice bills for the entire global package if the physicians reassign benefits to the group. The physician who performs the surgery is reported as the performing physician.

thanks so much!