Modifier -24 - Indications for Use

by  Codapedia
December 11th, 2015

By: Crystal Reeves, CPC, CMPE (Jun/21/2009) 

Modifier 24 is used to indicate that an Evaluation and Management service was provided by the surgeon to a patient within the global period of a major or minor surgery.   The claim must be accompanied by documentation that supports that the service is not related to the postoperative care for the procedure. That is, the surgeon must also be treating another medical condition unrelated to the surgery.
Examples of supporting documentation include ICD-9-CM codes that are clearly unrelated to the surgery or documentation explaining the reason the visit was unrelated to surgery. 
Preoperative and postoperative critical care may be paid in addition to the global fee using modifier -24 if the patient is critically ill or injured and the critical care is unrelated to the specific anatomic injury or general surgical procedure performed.
If the surgeon is admitting a patient to a nursing facility for a condition unrelated to the surgery, the modifier -24 is used with the initial nursing facility care code and clear documentation that the admission was for a different diagnosis or condition than the surgery.

References:

Modifier -24 - Indications for Use. (2015, December 11). Find-A-Code Articles. Retrieved from https://www.findacode.com/articles/modifier-24-indications-for-use-28033.html

© InnoviHealth Systems Inc

Article Tags  (click on a tag to see related articles)


Publish this Article on your Website, Blog or Newsletter

This article is available for publishing on websites, blogs, and newsletters. The article must be published in its entirety - all links must be active. If you would like to publish this article, please contact us and let us know where you will be publishing it. The easiest way to get the text of the article is to highlight and copy. Or use your browser's "View Source" option to capture the HTML formatted code.

If you would like a specific article written on a medical coding and billing topic, please Contact Us.


contact

innoviHealth Systems, Inc.
62 East 300 North
Spanish Fork, UT 84660
Phone: 801-770-4203 (9-5 Mountain)
Email:
free demo
request yours today
pricing
for any budget
sign IN
welcome back!

Thank you for choosing Find-A-Code, please Sign In to remove ads.