Modifier 54
54 Modifier Surgical Care Only: One physician performs a surgical procedure and another provides
preoperative and/or postoperative management. The Medicare Physician Fee
Schedule Database (MPFSDB) gives percentages that apply to pre and
intraoperative services.
Use the 54 modifier when one physician performs a surgical procedure and
another provides preoperative and/or postoperative management, or the
postoperative management is split between the surgeon and another practitioner.
Place this modifier after the CPT code for the surgeon who is doing the surgery
and not the entire patient follow-up.
Modifier 54 Example
When a 54 modifier is used, the allowance is based on the preoperative and
intraoperative percentages of the global allowance.
Code Global Period Preop % Intraop %
Postop % Allowance
66984-54
90
10%
70% 20% $593.73 x 80% = $474.98
*80% = Preop + Intraop percentage
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