Modifier help pls

bill2doc

Expert
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Patient had the following performed: Clipping of left posterior inferior cerebellar artery (PICA) aneurysm with titanium clip two months ago.

Patient then presented to ER for Laparoscopic cholecystectomy. This procedure was performed by a different Physician not associated in anyway with the first physician or procedure. Do I need a modifier to bill for the Laparoscopic cholecystectomy ?

I thought -79 but that says same physician ???

Thanks!
 

Lujanwj

Guru
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If 1st Dr is not in your group or a different specialty in the group, the patient is not in a global. However, there will be in a new global for the Dr that did Chole so you will need -57 on the E/M.

-79 "Same Physician" - means same specialty in the same group.
 
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