Modifier 56 is used to denote that one physician performed the preoperative care and another physician carried out the surgical procedure. 4. Can Modifier 54 be used for assistant-at-surgery services? No, Modifier 54 cannot be applied to assistant-at-surgery services; it is specifically for situ...
Modifier-25 is used for an unrelated evaluation and management (E/M) by the same provider or other qualified health care professional that is a significant, separately identifiable services performed on the same day as another procedure or service. The physician must show, by documentation in the...
unrelated procedure or svc by same physician during postoperative period, (ex: several days after discharge for procedure, pt returns for unrelated problem), diagnosis code would also be different -80 assistant surgeon, reimbursed at 15-30%, payers identify procedures for which they would reimburse...
Assistant Surgeon (when qualified resident surgeon not available). (The unavailability of a qualified resident surgeon is a prerequisite for use of this modifier append to the same procedure code the surgeon uses.) Modifier -90 Reference (Outside) Laboratory (When laboratory procedures are perform...