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Using 79 modifier to bypass 90 day global

Sharon Posted Fri 04th of March, 2016 22:33:07 PM

A dermatologist is doing 17107 for rosacea IPL treatments every month. Since the global for 17107 is 90 days can I add the 79 modifier to avoid the subsequent treatments being denied? 17106-17108 is the insurance company policy recommendation for the treatments being billed. Thank you.

SuperCoder Answered Mon 07th of March, 2016 05:16:47 AM

You may append modifier 79, however, it is important first to determine that the procedure you are appending it with should be unrelated to the first surgery. Some insurance companies request for the history and physical and/or operative reports in order to determine that the subsequent treatments are actually unrelated to the original surgery.
Therefore, generally speaking, while appending modifier 79, one should have this documentation ready to support their claim (if at all asked for). Also, please check your payer policy for the same. Thanks.

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