tci Part B Insider - 2011 Issue 29

Reader Question: Look for Coding Clues in Global Period Indicator

Question: Our cardiologist was called in to consult for an inpatient presenting with angina. The physician performs an E/M and decides to perform a left heart cath, which he does the next day. Should I report 99222 for day 1 and 93458 and 99231 for day 2? Should I use modifier 57 on 99222?Answer: For a scenario in which the cardiologist performs an E/M on day 1 and performs the left heart catheterization on day 2, assuming the codes you list are the appropriate choices for the services provided, you should report:Day 1: 99222 -- Initial hospital care...

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