Wiki Modifier prior to surgical procedure

[gcohen]

Is there a modifier for a procedure 1 day prior to a surgical procedure. Never heard of this, however, a payor is bundling an E/M.

 

[mk2001]

Is there a modifier for a procedure 1 day prior to a surgical procedure. Never heard of this, however, a payor is bundling an E/M.

It's wasn't a 90 day global procedure code? What were the codes billed?

 

[gcohen]

It's wasn't a 90 day global procedure code? What were the codes billed?

 

[gcohen]

99238 the day prior to 41520

 

[mk2001]

99238 the day prior to 41520

The patient was discharged from an IP stay to be brought back the next day for the 41520 all by the same provider?

 

[gcohen]

different provider

 

[mk2001]

different provider

We send the medical records and a letter stating the providers are of a different specialty. Would that be something that would work in your case?

 

[gcohen]

We send the medical records and a letter stating the providers are of a different specialty. Would that be something that would work in your case?

yes, we could do that, just checking other options. thanks

 

[bill2doc]

You could probably put -57 on the discharge