AAPC - Back to school
Results 1 to 3 of 3

Thread: Modifier for covering doc

  1. #1
    Join Date
    Apr 2007
    Carmel, New York

    Default Modifier for covering doc

    AAPC: Back to School
    We are getting denials for a physician who is covering for another one on medical leave. The denials are for no authorization as the covering doctor is not the primary care doctor for the patient. Is there a modifier to indicate this? I was thinking either -AK (but the covering doc is a participating doc) or -AM, but I can't find what is meant by "team member service." Or, should I be searching eleswhere?


  2. #2
    Join Date
    Apr 2007
    Baton Rouge



    Here is a link that may be helpful. I don't personally know a lot about using a substitute physician, but I believe a modifier should be allowed to indicate that the physician is covering on a short-term basis. Hope this site helps!

  3. #3


    Is the provider who's covering a locum? If that's the case, you may need to use modifier Q6 to indicate this.


Similar Threads

  1. Ob patient delivered by covering doc
    By mconnolly in forum OB/GYN
    Replies: 2
    Last Post: 04-18-2013, 01:02 PM
  2. modifier for covering doc??
    By adccouch in forum Modifiers
    Replies: 3
    Last Post: 02-07-2010, 10:09 PM
  3. Covering Doc Delivers!!
    By kinzua23 in forum OB/GYN
    Replies: 4
    Last Post: 07-08-2008, 12:56 PM
  4. Covering Doc
    By Hopp in forum General Surgery
    Replies: 1
    Last Post: 06-29-2008, 05:39 AM
  5. New Pt for Doc covering
    By janetmoh in forum E/M
    Replies: 1
    Last Post: 02-27-2008, 07:49 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?


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.