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2 surgeons, 2 problems?

  1. #1
    Default 2 surgeons, 2 problems?
    Medical Coding Books
    I have a surgeon who preformed a cecostomy on a patient. Several days later, while pt was still in hospital, the first surgeon turned care over to his partner because he was leaving town for 2 weeks. The second surgeon rounded on the patient and placed a PICC line for venous insufficiency and malnutrition.
    Can surgeon #2 charge for the PICC line, or is it considered part of the global?

  2. Default
    I think he can, with a -79 modifier, as it isn't related to the cecostomy.
    C.Martin, CPC-GENSG

  3. #3
    However, mod. 79 is for same physician. What should I use if the physician changed and it's during post op period? bill out without a modifier and hope for the best. Appeal if denied?

  4. Default
    If they have the same federal ID#, they're considered the same physician for these purposes.

  5. #5
    thank you!!

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