tci Part B Insider - 2003 Issue 29

Know What Code The Surgeon Used

Splitting a surgery using modifiers -54, -55 and -56 requires a lot of coordination, Cobuzzi says. The surgeon or other doctor who takes over the post-op care has to know what code the earlier surgeon used to bill for the procedure. "You shouldn't be guessing," Cobuzzi adds. "You should be getting the chart," or you won't get paid.  "You should be sending someone with the operative note and the coding to the person doing the post-op care so he can bill it out correctly," Cobuzzi says. ...

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