AAPC - Back to school
Results 1 to 5 of 5

Thread: help with coding please

  1. #1

    Default help with coding please

    AAPC: Back to School
    Not clear how to code for a patient that came to my Primary Care Office from a Nursing facility for a consult of the care he was recieving from the nursing home for a broken hip.. I am sure a modifier would help, however I can not find the correct one.

    Thanks for any help you can give.
    Paula Blumenthal, CPC
    Long Island, NY

  2. #2
    Join Date
    Apr 2007


    I'm unclear on why you feel you need a modifier? The PCP didnt do the surgery so global should not be an issue.

  3. #3

    Default yes. you are correct.. BUT

    maybe my questions was unclear.. He is a resident at a skill nursing facility and was taken out for his visit here. As in hospice care, primary care is not covered for the PCP because they are cared for at the facility by a primary care doctor at that site. In the case of hospice care modifier GV or GW (for care given not related to terminal illness need to be appended. that is what got me thinking that there might be a modifier I am missing for off site primary care for a nursing home resident..

    Thank you for your response.

  4. #4
    Join Date
    Apr 2007


    ahh that make more sense. No modifier is necessary when they are from SNF for an OV/Consult.

  5. #5

    Default Thank You

    I will post without modifier and hope for the best.. which would be getting pd.
    Again.. thank you for your help.. P

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.