sfoster465
New
Hello. I just started with an ENT practice. My previous experience was with a small office that was only office visits, so I am not familiar with most of the procedure codes and modifiers required for ENT billing. Any help or suggestions is appreciated!
I have run into a payer payment with this message: "Pre-/post-operative care payment is included in the allowance for the surgery/procedure." I assume this is for the global period, right?
The patient had procedure 30520, and a post op follow up the next day. Exactly one week after post op f/u, code 31237 with modifiers 50 + 58 was billed, and it was billed again one week after that. Both claims for 31237 received the above message.
Should we have used a different modifier, or should we expect no payments for these claims?
Thank you!
I have run into a payer payment with this message: "Pre-/post-operative care payment is included in the allowance for the surgery/procedure." I assume this is for the global period, right?
The patient had procedure 30520, and a post op follow up the next day. Exactly one week after post op f/u, code 31237 with modifiers 50 + 58 was billed, and it was billed again one week after that. Both claims for 31237 received the above message.
Should we have used a different modifier, or should we expect no payments for these claims?
Thank you!