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Wiki Repairs and Multiple Procedure Rule

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cinnee

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We have one doctor who does the excisions and another who does the repairs. The reparis are done in our OR surgery center which is billed as a separate entity under a different name and Tax ID # ?

The physician I work for has asked the following question:

Please find out : if another MD does the closure on a mohs patient, is there a 50% reduction for their part in this? I think each procedure is then paid 100% because is different doctor doing the procedures, even tho billed by same medical group. br

Cindy Gratton, CPC
 
Hmmm

Not sure of the correct answer, but I have some additional questions:

Are they both doing pre- and post-op follow-up visits?

One doctor (the one who excises) is not closing ... so s/he isn't completing that procedure. Are you using a -52 modifier?

F Tessa Bartels, CPC, CEMC
 
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