Modifiers: Bust 5 Common Modifier 24 Myths to Ensure Deserved Reimbursement

Hint: Focus on the documentation, not the diagnosis codes.

To ensure payment for E/M services your physician performs within the global period of a surgical procedure, you must know the ins and outs of modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period). At times even seasoned billers struggle with this modifier.

Overcome modifier 24 claim challenges by busting five myths that will lead to denial after denial if you fall into their billing trap.

Myth #1: Modifier 24 Applies To Any Service Done In the Post-Op Period

You should only append modifier 24 to an appropriate E/M [...]

- Published on 2011-10-04