dballard2004
True Blue
Per CMS, in order to report modifiers 54, 55, or 56, there must be a written transfer of care agreement between the providers (or surgeon). The CMS guidelines state the agreement may be in the form of a letter, or a notation in the d/c summary or chart indicating care is being transferred from one provider to another.
Here is my question...If a patient (not of the clinic) comes into the clinic for a laceration repair or fracture care only and all we do is repair the laceration or treat the fracture and then we notate in the chart, "Pt to follow-up with PCP upon returning home within a week," is the above notation sufficient for a transfer of care so we can bill the procedure with modifier 54?
PS-I know the simple laceration repair codes no longer have a global period per CMS effective January 1, so let's say we did an intermediate repair.
Here is my question...If a patient (not of the clinic) comes into the clinic for a laceration repair or fracture care only and all we do is repair the laceration or treat the fracture and then we notate in the chart, "Pt to follow-up with PCP upon returning home within a week," is the above notation sufficient for a transfer of care so we can bill the procedure with modifier 54?
PS-I know the simple laceration repair codes no longer have a global period per CMS effective January 1, so let's say we did an intermediate repair.