CPT codes, descriptions, and other data only are copyright 2008 American Medical Association (or such other date of publication of CPT). All Rights Reserved. Applicable FARS/DFARS Apply.
Current Dental Terminology, (CDT) (including procedure codes, nomenclature, descriptors and other data contained therein) is copyrighted by the American Dental Association. © 2002, 2004 American Dental Association. All rights reserved. Applicable FARS/DFARS apply.
NOTE: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material that is copyrighted by the American Medical Association. You are forbidden to download the files unless you read, agree to, and abide by the provisions of the copyright statement.
CPT Modifier 54
Description:
Surgical care only
Guidelines/Instructions:
Submit CPT modifier 54 when one physician performs a surgical procedure and another provides preoperative and/or postoperative management.
- Submit this modifier with the surgical procedure code
- Surgeons performing the major surgery and providing partial follow up care during the global period of a surgery must submit the claim as follows:
- Submit the surgery with CPT modifier 54 (Surgical care only) on one detail line
- On a separate detail line submit the surgery date as the date of service, the surgery code with CPT modifier 55 (Postoperative management only) and the number of postoperative days the patient was under the surgeon's care (e.g., 30). Refer to CPT modifier 55 for additional instructions regarding postoperative management.
Reference: