Wiki Appropriate modifier for PA/NP visit during post-op period of different specialty?

bpegram

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We have a PA that works in a Neurosurgery clinic billing an E/M visit during the post-op period for a procedure performed by an Orthopedic PA. I looked at modifier 24 but according to Palmetto modifier 24 may be used to indicate that an evaluation and management (E/M) service or eye exam, which falls within the global period of a major or minor surgery and which is performed by the surgeon, is unrelated to the surgery. This isn't appropriate since the E/M wasn't performed by the surgeon. What is the appropriate modifier to append to the E/M visit performed by the Neurosurgery PA to avoid denial by Medicare? Thanks for your help!
 
Different specialties should not deny. If both specialties are part of the same large multispecialty group and bill under the same TID, you may sometimes get denials. If so, you will need to submit the notes to show your visit was for a different specialty.
Or at least, this has been my experience with this type of issue.
 
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