Re: Billing

From: Daniel Flaherty (drdanf@earthlink.net)
Fri Jan 18 07:15:13 2002


I would go with #1 or #2. Bill #1 and likely the insurance company will downgrade to #2. Include your notes as to why the scope was needed.....it made sense as it helped determine your surgical route TVH vs TAH, and saved the lady an abdominal incision and longer recovery time, let alone hospital time.

Dan Flaherty MD Watertown SD

>----- Original Message -----
From: "Garry Siegel" <garrys@mindspring.com> To: "Multiple recipients of list OB-GYN-L" <ob-gyn-l@mail.medispecialty.com> Sent: Thursday, January 17, 2002 7:56 PM Subject: Gyn: Billing

> Today I did a hysterectomy on someone for small fibroids/adenomysosis
> suspected with pain. I posted an LAVH, as I wanted to exclude
> endometriosis. At laparoscopy, other than the uterus, her pelvis was
> normal, and I thus did a TVH after a diagnostic scope.
>
> Would you bill--
> 1. Dx lap, normal charge (no downgraded modifier) and TVH?
> 2. Dx lap, downgraded modifier, and TVH?
> 3. LAVH?
> 4. Other?
>
> Garry
>
> --
> Garry E. Siegel, M.D., F.A.C.O.G.
> Roswell, GA
> Private Practice
>





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