We frequently have a scenario similar to the one below and needing advice to get all visits paid.
09/01/2020 Admit(further workup ordered) CPT: 99222
09/02/2020 Subsequent Visit (Decision for surgery) CPT: 99232
09/03/2020 Surgery CPT: 44140
Modifier 57 would be added to the subsequent visit because that's when the decision for surgery was made BUT then the admit is denied as being included in the procedure. My understanding is if I add it to the initial visit then we can't bill for the...
Decision For Surgery Modifier (57)
09/01/2020 Admit(further workup ordered) CPT: 99222
09/02/2020 Subsequent Visit (Decision for surgery) CPT: 99232
09/03/2020 Surgery CPT: 44140
Modifier 57 would be added to the subsequent visit because that's when the decision for surgery was made BUT then the admit is denied as being included in the procedure. My understanding is if I add it to the initial visit then we can't bill for the...
Decision For Surgery Modifier (57)
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