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Thread: Post op management only

  1. #1

    Default Post op management only

    AAPC: Back to School
    A patient had surgery done by a different surgeon, but my doctor is seeing the patient for post op management. How does my doctor bill his office visits? Is it a post op visit or an established patient visit? Will he need to use 55 modifier on all visits? Any help is appreciated?


  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default -55 modifier

    The surgeon will bill the procedure(s) with a -54 modifier.
    You will bill the exact same procedure(s) with a -55 modifier

    For example, say the surgeon performed a chlecystectomy - he bills CPT 47562 (M54)

    You then bill CPT 47562(M55) That will cover the entire post-operative period.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Kansas City, MO


    Agree...just make sure the surgeon knows the rules as well. They seem to forget the modifier, and this can become a mess.
    Linda Vargas, CPC, CPCO, CPMA, CPC-I, CEMC
    PMCC Licensed Instructor
    Kansas City, MO Chapter
    Member Development Officer 2016
    Harrisonville, MO Chapter President - 2013
    ICD-10 Education Coordinator- 2012
    Chapter President - 2011
    President Elect - 2010

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