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Gun Shot Wound--HELP!!!

  1. #1
    Location
    Louisville Student
    Posts
    27
    Default Gun Shot Wound--HELP!!!
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    Pt with gun shot wound seen in office from different state.
    Pt has gun shot wound to abdomen, also subphrenic abscess from a lap appy in Florida.
    My question is what modifier could be used for the abscess in post operative period by different physician?

    Thank you in advance for your help
    Paula

  2. #2
    Location
    Modesto, CA; Central Valley Chapter
    Posts
    225
    Default
    Couldn't you use mod 55 for post operative management?

    Thanks
    Tina Reich, CPC, CPC-I, CEMC

  3. Default
    I think postop management only works if the original doc filed as surgery only. I don't think you need a modifier when the patient's in the postop period for surgery by someone outside of your own group.
    C.Martin CPC-GENSG

  4. #4
    Default
    You don't need one.
    adrianne, cpc

  5. #5
    Location
    Milwaukee WI
    Posts
    4,466
    Default Can you clarify scenario
    Quote Originally Posted by PaulaD View Post
    Pt with gun shot wound seen in office from different state.
    Pt has gun shot wound to abdomen, also subphrenic abscess from a lap appy in Florida.
    My question is what modifier could be used for the abscess in post operative period by different physician?

    Thank you in advance for your help
    Paula
    Paula,
    Can you clarify this scenario ...
    Is the patient presenting to your office with a gunshot wound?
    Is the patient coming to you with the abscess?
    Was the patient treated out of state for the gunshot wound and now has come to you for just the abscess?

    Or ... was patient treated for lap appy out of state; now is in your state and presents with a gun shot wound, and incidentally you discover that there is an abscess from the lap appy?

    And, what codes are you using? Is this a surgery, or an E/M?

    F Tessa Bartels, CPC, CPC-E/M

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