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Consultation codes and modifiers

  1. #1
    Question Consultation codes and modifiers
    Exam Training Packages
    Should we be using modifier 32 for pre-op?

  2. #2
    Seattle First Hill
    According to CPT, Modifier -32: Services related to mandated consultation and/or related services. I'm confused as to how a consultation can also be a pre-op? If the decision for surgery is made, then you would use a -57.

  3. #3
    I've seen a -32 attached to a consultation in the case of a second-surgical opinion (attached to the second surgeons charge)

  4. #4
    Smile other uses for 32 modifier
    also, in the case of disability, sometimes one of the involved parties may mandate that the claimant have a test or examination to prove that s/he is truly disabled. add 32 modifier to show a mandated service rendered.

    Other times, for life insurance applicants, the company may require examinatios or tests before they insure the applicant.

    Those are situations in which I have heard of 32 modifier being used.

    PS: in the previous post, the party mandating the consult was the carrier.

    Hope this helps


  5. #5
    Question cpt modifer 32
    Can modifer 32 be used for codes 94010-94070 when billing for a medicare physical or for a pt. with COPD? I could find any information on the CMS website and was hoping someone would have an answer.

  6. #6
    Smile Modifer 32
    Thank you everyone for helping me out. That really cleared things up for me. Thanks again

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