tci E/M Coding Alert - 2017 Issue 8

Reader Question: Find Out When to Append Modifier 24

Question: A patient developed a post-op infection during the global period and returned to the operating room (OR). Can we bill the E/M hospital visit with a modifier 24? California Subscriber Answer: You can only append modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) to an E/M service when the physician renders an E/M during the patient’s global surgery period that is not related to the patient’s surgery. If the infection is related to the surgery, the MAC considers it part of the original...

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