If I see a patient and during an E/M visit where I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid for that E/M service?
Category: Coding Coach
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New vs. Established Patient
If I see a new patient and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?
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AVM Embolization
We’ve been told by our outsourced coding company to use 61710 for catheter-based embolization of an AVM. Is that right?
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Bilateral Procedures
Our current billing service is using the 50 modifier when we indicate that it is a bilateral procedure for tubes and sinus procedures. However, they are doubling the amount charged when billing for tubes (69436-50) but not for the sinuses. Can you advise me of the proper way for this to be billed?
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Joint Injections
When my PA performs joint injections, can we report those services under the incident-to billing rules?
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Sacral Nerve Destruction
My physician performed sacral nerve destruction of the S1, S2, S3 and S4 peripheral nerves. How do I code this?
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Neuroendovascular Procedure Coding
We are hiring a neurosurgeon who also does neuroendovascular procedures. We’ve never had to code for neuroendovascular procedures before – HELP!
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Approach to Pituitary Tumor
I am with Otolaryngology and one of our Physicians has done a case with a Neurosurgeon. I need some advice regarding coding. They did a transsphenoidal pituitary tumor together where our physician opened and assisted the neurosurgeon. The neurosurgeon did 61548 and our physician said he did 30520, 31287-50, 31240-LT, and 30930. Please advise on the best way to bill.
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Using Modifier 57
I saw a patient on a Friday and scheduled surgery for that Monday. Do I need a 57 modifier on the E/M I did on Friday?
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New vs. Established Patient
If I see a new patient and during that visit I identify the need for surgery the same day, can I append a Modifier 57 to the E/M service and get paid?