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Confusing myself

  1. #1
    Default Confusing myself
    Medical Coding Books
    My doc saw a patient in the office, treated the patient for fx fingers (FA/F4) (26750 x2). The patient also sustained a tendon laceration that required him to go the the OR later that same day.

    For the office visit we billed:

    Would the appropriate modifier be 58 for the procedure performed elsewhere on the same day?

  2. #2
    Yes, if the surgery was on the same finger and the patient had to have a more extensive procedure. I probably wouldn't have charged the first fracture code if having surgery the same day, but that is up to the doctor.
    If on a different finger a 79 is the appropriate modifier.
    Hope this helps.
    Lynn Spille, CPC

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