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Post op management only

  1. #1
    Default Post op management only
    Medical Coding Books
    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
    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
    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,CCC, AAPC Fellow
    PMCC Licensed Instructor
    2018 Chapter President, Kansas City, MO

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