Forum - Questions & Answers
Coding Post Op Care Only
Patient is a PA resident who while in DE underwent an ankle ORIF. Patient returned to PA and is in a rehab center. Physician at rehab center requested a consult with our Dr for follow up care. Surgery was performed 9/7, we saw for post op 9/16. Any suggestions for billing? Do I use the procedure code with the 9/7 date and 55 modifier? Also do I have to list global days, and do I start at 9/7 or 9/16? Can I also bill for consult?
post op care only
There is an article that discusses these modifiers:
http://codapedia.com/-article_268_.cfm
The citation will take you to the Medicare Claims Processing Manual, Chapter 12, Section 40.
Both use the same DOS and CPT code. The post op care doc may only bill after seeing the patient for the first time.