24 and 57?

primrose1

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Albion, NY
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We have a patient that had a toe fx charge back in December; he's still under that global period. Came in yesterday with a new wrist fx. Do I put both 24 & 57 on the E/M??

Thanks!

Kris
 

aaron.lucas

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Cherry Hill, NJ
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was the wrist surgery on the same/next day, and is it a 90 day global? -57 only applies when the procedure is major surgery, and when it is scheduled for the same or next day.
 
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Milwaukee WI
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Assuming you will be treating the fracture ...

Assuming you will be treating the wrist fracture this same DOS, then Yes, you would append both the -24 and -57 modifier to show that this E/M service was
1) UNrelated to earlier surgery/fracture care, though provided during the global period of that earlier procedure
-and-
2) the Decision for Surgery for new procedure/fracture care.

Hope that helps.

F Tessa Bartels, CPC, CEMC
 

Julie Davis

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Parker, CO
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I agree, that if fracture care is being done for the wrist, you would add both the -24 and -57 modifiers. Both are needed to tell the whole story for this visit.
 
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