tci E/M Coding Alert - 2013 Issue 2

Modifiers: Bust 5 Common Modifier 24 Myths and Overcome E/M Denials

Tip: Look for a new problem before attaching 24. When your provider sees a patient who is still within the global period of a surgical procedure, you will need to turn to modifier 24 (Unrelated evaluation and management service by the same physician or other qualifier health care professional during a postoperative period). Be sure you know when you can – and can’t – append 24 in order to seek payment for the E/M service. Overcome modifier 24 claim challenges by busting five myths that will lead to denial after denial if you fall into their billing trap...

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