Which modifier would you use for a procedure done by a different physician within the postoperative period?

Prepare for the Current Procedural Terminology (CPT) Exam. Study with flashcards and multiple choice questions, each question has hints and explanations. Get ready for your exam today!

Using the -79 modifier is appropriate for indicating that a procedure was performed by a different physician during the postoperative period of a previous procedure. This modifier specifically signifies that the subsequent procedure is not related to the original surgery, which is essential in preventing confusion and ensuring accurate billing.

When a patient undergoes a surgical procedure, the postoperative period is defined as the time following that surgery during which certain follow-up actions and care are associated with the initial procedure. If another physician performs a procedure unrelated to the initial surgery within this timeframe, applying the -79 modifier clarifies that the two procedures are distinct and justifies the reimbursement for the services provided by the second physician.

In summary, the -79 modifier effectively communicates that the subsequent procedure is unrelated to the original procedure’s postoperative care, allowing for proper billing and documentation practices in CPT coding.

Subscribe

Get the latest from Examzify

You can unsubscribe at any time. Read our privacy policy