tci E/M Coding Alert - 2023 Issue Q2

You Be the Coder: Take Relationship Into Account in Some Coding Situations

Question: A patient came to our practice seeking a second opinion during the 90-day global period of a surgery performed by another surgeon. What CPT® code and modifier would be appropriate in this circumstance? AAPC Forum Participant Answer: The answer to your question really depends on the professional relationship between the surgeon who performed the initial surgery and the provider who performed the second encounter. It also depends on what the second provider actually does in that second session. To see how both things play out, consider the following general scenarios. Scenario 1: Two providers, billing under the same...

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