Final Answer:
The principal physician of record uses the -55 modifier with the Evaluation and Management (E/M) code when billed.
Step-by-step explanation:
When a patient's care involves multiple encounters with the principal physician of record, the -55 modifier is used to indicate that the subsequent E/M services are part of the initial or shared care. This modifier is crucial for accurate billing and reflects the ongoing responsibility of the principal physician in managing the patient's overall care.
The -55 modifier signifies that the subsequent E/M service is distinct from the initial service but is part of the overall management of the patient by the same physician. This is particularly relevant in cases where a patient requires multiple visits or follow-ups for a specific condition, and the principal physician of record continues to oversee and coordinate the care. It ensures appropriate reimbursement for the comprehensive management provided by the principal physician.
In the realm of medical coding, accurate use of modifiers is essential for proper documentation and billing. The -55 modifier aids in transparently conveying the complexity and continuity of care provided by the principal physician, facilitating a more precise representation of the patient's healthcare journey in the billing process.