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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.

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Railroad Medicare
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:

 

last updated on 12/01/2009
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