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Wiki Post op management only

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khopstein

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A patient had surgery done by a different surgeon, but my doctor is seeing the patient for post op management. How does my doctor bill his office visits? Is it a post op visit or an established patient visit? Will he need to use 55 modifier on all visits? Any help is appreciated?

Thanks,
Kristi
 
-55 modifier

The surgeon will bill the procedure(s) with a -54 modifier.
You will bill the exact same procedure(s) with a -55 modifier

For example, say the surgeon performed a chlecystectomy - he bills CPT 47562 (M54)

You then bill CPT 47562(M55) That will cover the entire post-operative period.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 
Agree...just make sure the surgeon knows the rules as well. They seem to forget the modifier, and this can become a mess.
 
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