tci Part B Insider - 2014 Issue 17

Mythbuster: Save Your Claims From These 5 Modifier 24 Pitfalls

Remember that 24 only applies to E/M services. When your physician treats a patient who is still in the global period of a surgical procedure, you need to decide if the encounter is related or unrelated to the surgery. If you find that the office visit is unrelated, knowing the ins and outs of modifier 24 (Unrelated evaluation and management service by the same physician or other qualified healthcare professional during a postoperative period) is going to be your key to payment. Overcome modifier 24 claim challenges by busting five myths that will lead to denial after denial if...

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