tci General Surgery Coding Alert - 2013 Issue 1

Reader Question: Learn Modifier PD Payment Impact

Question: Our surgery group practices in a freestanding facility not operated by a hospital. When a patient comes in to see one of our surgeons for an appointment and is admitted to a hospital within three days, do we need to use modifier PD? Illinois Subscriber Answer: If the entity you’re coding for is not wholly owned or operated by a hospital, then you don’t need to append modifier PD (Diagnostic or related nondiagnostic item or service provided in a wholly owned or operated entity to a patient who is admitted as an inpatient within 3 days)...

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