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20552 billed during global for different anatomical site?

Annie Posted Thu 24th of April, 2014 10:08:06 AM

What codes and modifiers should I use for:
Pt had 22551(surgery) 33 days ago for 721.1.(reimbursed)pt presents with new symptoms in the shoulder(different anatomical site) which prompts an office visit for established 99213 with 20552 and j1030. What modifiers should be applied to which cpt codes.We used
99213 modifer 24 25 with 726.0 723.4 722.71 719.41
20552 with 726.19
J1030 with 726.19
Our clearinghouse is stating conflict with 20552 during global.What is wrong?

SuperCoder Answered Thu 24th of April, 2014 14:08:09 PM

Use Modifier 78 with 20552 during global period.

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