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If the appropriate modifier is not reported the procedure and therefore not separately reimbursable. These policies may be superseded by mandates in provider state federal or CMS contracts and/or requirements. Preoperative Clearance and Postoperative Evaluation A surgeon may request a provider perform a consultation as part of either a preoperative clearance or postoperative evaluation as long as consultation guidelines are met in addition to the following evaluation only if o The requesting...
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