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 E/M Coding Alert - 2015 Issue 7
Reader Questions: Check the Dates Before Adding 57
Question: A patient had an office visit (99213) with a 185 diagnosis on Feb. 17. The next day, Feb. 18, my doctor did an inpatient procedure (55866), which has a 90-day global period, with the same diagnosis. Medicare denied the office visit as being part of the global period. Can we resubmit with modifier 57?
California Subscriber
Answer: If your urologist did indeed make the decision for surgery on Feb. 17, the day before a laparoscopic retropubic robotic assisted radical prostatectomy (55866, Laparoscopy, surgical prostatectomy, retropubic radical, including nerve sparing, includes robotic assistance, when performed) then using modifier 57...
To read the full article, sign in and subscribe to tci E/M Coding Alert.
Stay informed, get answers to your E/M coding and documentation questions, and find the help you need to bank your deserved pay with your subscription to TCI’s E/M Coding Alert.
Current newsletters added each month
Fully searchable archives - over 500 articles
ALL years/issues back to 2013 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: