Ask Dr. Z

My physician is an Interventional Radiologist. He is the only one on call for one of the area hospitals. He will get called in at all hours of the night for a "consult", which I bill a 99222. During that consult he will usually find that a procedure needs to be done of some sort. The procedure is scheduled for the next day. Medicare will pay my procedure but deny the 99222 as "pre-op or post-op care". Not only is my physician being woken up in the middle of the night, I can't even get him paid for his services. Is there a way around this? Is there a modifier I can use that would help? Thank You, Shannon Dr. Stephen K Liu