Inpatient visit with procedure

Can I bill for a subsequent Inpatient visit, 99231 and a procedure done in the room on the patient, 20605-LT? Would I also need to add the 59 modifier to procedure code, 20605?
Thanks for any help I can get!!!!

re: Inpatient visit with procedure

If the subsequent hospital visit was for a condition above and beyond pre-and-post work included in procedure code 20605, then the modifier 25 goes on the E/M code.

re: Inpatient visit with procedure

Take a look at the articles in Codapedia on the global surgical package and modifiers (search in the search box for those topics) for additional information.

Modifier 59 is only required when two procedures are performed, the second is bundled into the first, but the second meets the requirement of separate and distinct. It would never be applied if only one procedure was performed.