tci ED Coding & Reimbursement Alert - 2013 Issue 12

Reader Question: Make Sure You Are In The Same facility Before Using a 27 Modifier

Question: Should modifier 27 be appended on the visit to a second hospital when a patient is transferred from one hospital emergency department to a completely different hospital ED; such as from Hospital system #1 ED to Hospital system #2 ED? I’m asking about facility services with two different ED visits from two separate networks and the emergency departments involved have separate facility tax ID numbers.Illinois Subscriber Answer: Given these parameters, two ED visits on the same day in different facilities, the 27 modifier should not be required in the scenario you summarized below.  There are...

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