tci General Surgery Coding Alert - 2014 Issue 8

Modifiers: Read This if Your Surgeons Ever Divvy Up Care

Identify different services within the global period. If you skip the modifier when your surgeon splits services with another physician during the global surgical package, you can expect to miss out on pay you deserve — or even expect a claim denial. Follow our experts’ four tips for shared care to make sure you avoid this complicated billing trap. Tip 1: Transfer the Care Here’s a shared care scenario your surgeon might face: Your surgeon sees a patient in the emergency room, diagnoses a ruptured appendix, and performs an emergency appendectomy 44960 (Appendectomy; for ruptured appendix with abscess...

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