MedAbbrev, now by innoviHealth, has been the industry standard for medical abbreviations and acronyms since 1983. Quick and easy access for hospitals, providers, coders, transcriptionists, students and researchers to over 75,000 entries. With clear and accurate standardization that is always current, medical professionals can reduce the chance of error stemming from misunderstood abbreviations.
tci ED Coding & Reimbursement Alert - 2004 Issue 7
Reader Question: Don't Let 2nd Service Wrap Into Global Care
Question: I received a denial from Medicare for a patient who had two hip dislocation reductions performed about 60 days apart. I used modifier -54 on both, but the second visit keeps getting denied because Medicare states that the physician performed it during the global period for the initial procedure. Are there any other modifiers I should use to justify this work?
Alabama SubscriberAnswer: Instead of appending modifier -54 (Surgical care only), you should consider using modifier -59 (Distinct procedural service) to identify the second reduction as a distinct procedural service. The second reduction is really the result of...
To read the full article, sign in and subscribe to tci ED Coding & Reimbursement Alert.
You have ED coding questions, and we deliver money-in-the-bank answers to help you defeat your claim issues and secure optimal reimbursement.
Stay in the know and avoid federal reproach with your subscription to TCI’s ED Coding and Reimbursement Alert.
Current newsletters added each month
Fully searchable archives - over 2100 articles
ALL years/issues back to 1998 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: