Laurie Posted Thu 14th of February, 2019 10:58:22 AM
patient comes in to office see's the doctor for a follow up to the surgery in the global days., but he also comes in for a new problem can we charge for the office visit with a 24 modifier?
SuperCoder Answered Fri 15th of February, 2019 01:34:09 AM
Thank you for your Question!
Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period.
Use Modifier 24 with the appropriate level of E/M service.
Modifier 24 on an E/M would be appended when an unrelated E/M service is performed beginning the day after the procedure, by the same physician, during the 10 or 90-day post-operative period and documentation indicates the service was exclusively for treatment of the underlying condition and not for post-operative care.
Note: The same diagnosis as the original procedure could be used for the new E/M if the problem occurs at a different anatomical site.
Do not use Modifier 24 for undermentioned scenarios:
- when the E/M is for a surgical complication or infection. This treatment is part of the surgery package.
- The service is removal of sutures or other wound treatment. This treatment is part of the surgery package.
- The surgeon admits a patient to a skilled nursing facility for a condition related to the surgery.
- The medical record documentation clearly indicates the E/M is related to the surgery.
Hope this Helps!