As previously noted, we currently require the transfer of care modifiers (-56 pre-operative care, -54 for procedures, and -55 for post-operative care) to be appended in cases where there is a formal documented transfer of care agreement, that is, in the form of a letter or an annotation in the discharge summary, hospital record, or Ambulatory Surgical Center (ASC) record (CMS Manual System, Pub 100-04 Medicare Claims Processing, Transmittal 11287)
In general, evidence of secondhand smoke in saliva dissipates within one hour of being exposed, while evidence of smoking cannabis stays in saliva up to 12 hours after smoking
Its a term that some people use to describe many different unrelated conditions
As such, we will identify the services that we are proposing would overlap substantially with the new codes and which would not be separately billable with the APCM codes under our proposal (see section II.G.2.d