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Shane Posted 5 Year(s) ago

on a comanangment claim with '66984' should the days or units of service be the actual days or 1? TOA bulletin says it should be 1 but there seems to be quite a lot of confusion about this. Novitas website states to use 1 in box 24G.

SuperCoder Posted 5 Year(s) ago

It should be 1 only.

Lets have an example :

Dr. Smith performs procedure code 66984 on March 1st and cares for the patient
through April 29th.
• Procedure Code 66984 carries a 090 day global period.
• Dr. Smith’s claim form must have the “Relinquished Post-Op Date” of
04-29-2010 entered in Item 19 of the CMS 1500 Claim Form or electronic
equivalent.
Dr. Smith’s claim must also contain:
• The date of the initial service, the procedure code performed and modifier 54 on
line 1 of Items 24 A and 24 D respectively.
• The date of the initial service, the procedure code performed and modifier 55 on
line 2 of Items 24 A and 24 D respectively.
• One unit of service must be entered on the line item in 24G.

• Dr. Jones assumes responsibility for the patient on April 30th for the remainder of
the global period.
• Dr. Jones’ claim must have the “Assumed Post- Op Date” of 04-30-2010 entered in
Item 19 of the CMS 1500 Claim Form or electronic equivalent
Dr. Jones’ claim must also contain:
• The date of the initial service, the procedure code performed and modifier 55 on
line 1 of Items 24 A and 24 D respectively.
• One unit of service must be entered on the line item in 24G.

Posted by Shane, 5 Year(s). There are 2 posts. The latest reply is from SuperCoder.

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