tci General Surgery Coding Alert - 2005 Issue 9

READER QUESTIONS: There's No Modifier for Incident-to

Question: Should I use a modifier when reporting services provided incident-to the surgeon's care?Utah Subscriber Answer: No, you don't have to append a modifier of any type to identify incident-to services. Rather, you should report incident-to services just as if the physician performed the service himself. When billing incident-to services, however, you should keep in mind these three facts:1. To bill a service incident-to, you need physician supervision from somewhere in the office space. To document this, you need at least a simple phrase in the progress notes such as "performed under the supervision of Dr. X,"...

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