Results 1 to 6 of 6

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
    Location
    Seattle First Hill
    Posts
    126
    Default
    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
    Default
    hello:
    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

    James

  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

Similar Threads

  1. Consultation Codes - pain management
    By Mavra in forum Payer/Health Plan
    Replies: 6
    Last Post: 06-20-2013, 12:07 PM
  2. Consultation codes
    By songstresspyt@yahoo.com in forum Auditing General Discussion
    Replies: 5
    Last Post: 04-09-2013, 01:33 PM
  3. Consultation codes ????
    By skoch65 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-02-2012, 10:28 AM
  4. consultation codes
    By paulavanderpool in forum Auditing General Discussion
    Replies: 5
    Last Post: 03-24-2010, 08:12 AM
  5. consultation codes
    By jemimah crescentia in forum E/M
    Replies: 2
    Last Post: 10-12-2009, 06:16 AM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.