Billing Medicare in a global period

BillBair

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I have a patient we saw in the ER, we did closed reduction and casted her, she still required internal fixation which we did 2 weeks later as an outpatient procedure with a modifier of 24. but it was denied as global, any help or ideas would be appreciated. Thanks
 

PLAIDMAN

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A 24 is an E/M modifier you can't put 24 on surgical procedure.

you need a 78 or 58
 

BillBair

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I thought that as well so when I first sent it out I put 78 it was denied so I thought maybe I was confused and sent with 24, so If it is denied globally with the 78 what are my options, just to appeal?
 

Treetoad

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Unless the internal fixation is done because of a complication, you should be using modifier 58--staged or related. Sounds like it was planned.
 
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