Clay: There may be better ways, but we handle this with a charge rule in
LIS. The following is a rule we have attached to the Potassium order (K).
Basically, it checks for various ways a potassium may have been done
earlier, and if it finds one, it sends a different charge code: one for a
potassium charge that has the -91 modifier hard-coded to the CPT code in the
B/AR procedure dictionary.
----------------------------------------------------------------------------
----------------
;Sends a different B/AR mnemonic if K done earlier today (repeat)
;
IF{[f lord lab today]("LYTE") [f lord use bill code]("43104918");
[f lord lab today]("BMP") [f lord use bill code]("43104918");
[f lord lab today]("K") [f lord use bill code]("43104918");
[f lord lab today]("CMP") [f lord use bill code]("43104918")};
----------------------------------------------------------------------------
-----------------
Rich Griffith
Coordinator, Info Mgmt, QM & Compliance
Hagerstown Medical Laboratory
Washington County Health System
Voice: 301-665-4906
e-mail: [EMAIL PROTECTED]
-----Original Message-----
From: [EMAIL PROTECTED] [mailto:[EMAIL PROTECTED]
On Behalf Of Silas, Clay
Sent: Wednesday, November 15, 2006 4:44 PM
To: [email protected]
Cc: Yelverton, Mike
Subject: [MEDITECH-L] Modifier 91
Hello MEDITECH L users,
We are working on a process to apply the 91 modifier to all outpatient lab
tests that are repeated in one calendar day. I am unsure of the best
process to attach and capture this modifier for these tests. What process
are you currently utilizing to capture this modifier?
All feedback is greatly appreciated.
Thanks in advance!
Clay H. Silas
MIS Financial Applications Specialist
Johnston Memorial Hospital
Office: 919.938.7593
Fax: 919.934.9753
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