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Answers to Compliance and Medical Coding Questions.
  1. Shane Posted 4 Year(s) agoRelated Topics

    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.

  2. SuperCoder Posted 4 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.

About this Question

  • Posted by 61986 Shane, 4 Year(s) ago. There are 2 posts. The latest reply is from SuperCoder.