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Post Op Complication

  1. #1
    Location
    Oklahoma City MidTown
    Posts
    11
    Default Post Op Complication
    Medical Coding Books
    Patient had bunion repair with screw placement. Within global, the screw displaced and fractured the bone. The physician who performed the original procedure is on vacation and another physician in the practice sees the patient and does an open reduction with internal fixation.

    Is a modifier necessary for the second surgical procedure and if so, what is it?
    panderson - okc

  2. #2
    Location
    Farmer Branch, TX
    Posts
    110
    Default complication
    Yes, i would say that a modifier is needed it's either 78 or 79.
    MARSCHAND K. MARTIN

  3. #3
    Location
    Oklahoma City MidTown
    Posts
    11
    Default
    But both of these modifiers indicate the same physician. This is a different physician (Same Tax ID and Taxonomy but different NPI).
    panderson - okc

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Physician of same specialty and same practice
    Physicians in the same practice of the same specialty are considered "the same physician."

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  5. #5
    Location
    Oklahoma City MidTown
    Posts
    11
    Default
    Thank you both. This just seemed too simple and I thought I was missing something.
    panderson - okc

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