bpegram
New
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!