tci Outpatient Facility Coding Alert - 2014 Issue 4

Reader Question: Check for Transfer of Care Before Appending Modifier 55

Question: If another otolaryngologist, not the physician who performed the surgery, sees a post–op patient and admits him to the hospital during the 42–day global period, is modifier 55 appropriate? California Subscriber   Answer: If another otolaryngologist takes charge of all the postoperative care of a patient within the 42-day global period, then you can claim that care by appending modifier 55 (Post operative management only) to the applicable CPT® procedure code. Key note: Verify that the originating surgeon has done a formal transfer of care to the otolaryngologist for the postoperative care. When you complete the...

To read the full article, sign in and subscribe to tci Outpatient Facility Coding Alert.

TCI's Outpatient Facility Coding Alert helps your facility stay profitable by covering issues that are important to you — everything from billing strategies and appropriate payment indicators to coding tips and tricks, analysis of industry trends, and so much more. Subscribe today and let our experts make your job easier.

  • Current newsletters added each month
  • Fully searchable archives - over 650 articles
  • ALL years/issues back to 2012 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles
Access to this feature is available in the following products:
  • tci Outpatient Facility Coding Alert +Archives

free demo
request yours today
for any budget
sign IN
welcome back!