41115 with 99238

Deb2009

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If my Peds doc is doing a 41115 on a new born and then a d/c within the 10 day global, would a 79 modifier be appropriate on the 99238 when patient is discharged home?
 

ajs

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If my Peds doc is doing a 41115 on a new born and then a d/c within the 10 day global, would a 79 modifier be appropriate on the 99238 when patient is discharged home?
Depends on what else is billed, is this a newborn that has never left the hospital? Usually for surgical procedures the discharge is included in the procedure, but if it was incidental to a different type of hospitalization then that may be different. In any case, the 79 modifier is not allowed with 99238, but a 25 or 24 modifier is allowed.
 

Deb2009

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Depends on what else is billed, is this a newborn that has never left the hospital? Usually for surgical procedures the discharge is included in the procedure, but if it was incidental to a different type of hospitalization then that may be different. In any case, the 79 modifier is not allowed with 99238, but a 25 or 24 modifier is allowed.
Yes, this is a newborn that has not left the hospital. So the procedure would be inclusive of the discharge? Thank you. Your help is much appreciated. Peds is an area I am not familiar with.
 
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