Gerald fell 6 feet from a ladder while running wire at work today. He presents to the provider's office with complaints of low back pain and left knee pain. He arrives with a paper copy of the notes from a visit with his primary care physician about these problems. His employer requested Gerald receive a second opinion from another provider to confirm the diagnosis. What E/M modifier would be appended to the code for today's service?

Question

Quizplus · Accepted Answer

Modifier 32 is used to indicate a service that is required by a third party, such as an insurance company or employer, for a second opinion or an evaluation that may not be related to the patient's illness or injury. In this scenario, Gerald's employer requested a second opinion, making modifier 32 the appropriate choice.

Gerald Fell 6 Feet from a Ladder While Running Wire