tci Medicare Compliance & Reimbursement - 2013 Issue 14

Clip And Save: Use This E/M Modifier Cheat Sheet to Bill Correctly Every Time

If you’re often mixing up your E/M modifiers, then clip this article and post it near your desk. You’ll be sure to apply the appropriate modifier every time. Pick Modifier 24 for Post-Op Cases When you report modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period), the E/M service must meet these criteria: The E/M service occurs during the postoperative period of another procedure. The current E/M service is unrelated to the previous procedure. The same physician (or tax ID or same group and specialty)...

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