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Use of modifier -55????

Melinda Posted Fri 27th of January, 2012 19:34:09 PM

My physician saw a new patient and performed a new patient evaluation and would like to bill 99203-25 and then performed a 31237-50.

The question I have is whether I need to append modifiers to show that this work was done within the global period? The patient had NSR/FESS surgery but by a different physican in Chicago, IL over Christmas break and was unable to attend his post-operative appointments because he is a student here in Iowa. He was new to our practice.
I have looked at all the modifiers and do not see any specific to another physician during the post operative period. I am wondering if I would be required to use modifier -55, since we are primarily providing post-operative care because we did not perform the surgery.

SuperCoder Answered Sat 28th of January, 2012 22:56:58 PM

There is no scenario of using any modifier to be used other than the one you billed.

SuperCoder Answered Sat 28th of January, 2012 22:58:50 PM

But just for sake of any probability, can you plz crosscheck if the Tax ID of your doctor is same as of the other doctor?

Melinda Posted Mon 30th of January, 2012 16:54:33 PM

The tax ids are different. I am still a little unclear. Are you saying I should just be billing the 99203-25 and 31237-50. Without any use of modifier -55?

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