tci Part B Insider - 2007 Issue 41

Bolster Your Suture-Removal Savvy With Modifiers 54 and 55

Discover whether your answer matches the expert-sIf you-re not reporting your physician's suture removals in certain tricky cases, you-re probably denying your practice legitimate reimbursement. Polish your suture coding skills with this quick quiz. Question: When the physician removes sutures, should we attach modifiers 54 or 55 to the E/M code? Answer: No, says Kathy Pride, CPC, CCS-P, director of government program services with QuadraMed in Reston, Va.-If you are going to use the modifier for postoperative management of a procedure, the CPT guidelines state that you should use the same code as for the physician performing the...

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