90 day global and admit

Bonnie Owen

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The decision for the 90 day global procedure was done on the second day of the IP stay. I added modifier 57 to the second day E/M cpt code however the Admit(first day) I did not add a modifier. The admit has denied as part of the global of the second day procedure that also had the E/M modifier 57 billed. I did use different dx for the admit than I did for the second day E/M and procedure. Surely, there is some way to get the admit paid. Any suggestions? I wondered if modifier 24 on the admit but that is for post-op.
 
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