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Thread: Modifier For Ip Cx Surgery - Need modifier for inpatient surgery

  1. #1
    Join Date
    Apr 2007

    Question Modifier For Ip Cx Surgery - Need modifier for inpatient surgery

    AAPC: Back to School
    Need modifier for inpatient surgery cancellation before and after anesthesia started for our anesthesia doctors. I see 73 & 74 for outpatient and 53 for surgeons.
    Last edited by ank3t; 10-06-2016 at 03:47 AM.

  2. #2
    Join Date
    Apr 2007
    Minneapolis, MN


    If the MDA has seen the patient, done the pre-anesthesia work (assessment/exam/etc) and then the surgery is cancelled for whatever reason, the MDA can bill for an inpatient consultation, as long as appropriate documentation supports this. There is no appropriate modifier to be used with the CPT code for the procedure, or the anesthesia CPT (depending on what internal process you and your software use).
    Lisa Gillstrom, CPC, CPBB, HUC
    National Compliance Manager

    himagine solutions inc.
    3109 W. Martin Luther King Blvd., Suite 650, Tampa, FL 33607
    P: 813-331-0645

  3. #3
    Join Date
    Apr 2007

    Unhappy cpt 58563

    can i bill for cx surgery for obgyn 58563-74, or is there another way of billing this to medicare?

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