I work for an orthopedic group and per Medicare guidelines we can charge a new patient visit within the three year period if the patient sees another physician because sports medicine is now its own specialty. The patient is seeing another doctor in the group. It was originally coded at 99203 with a 24 modifier. Medicare rejected as modifier inconsistent with procedure code. I thought this would be incorrect in the first place as the description states that the 24 modifier is a separate e/m service within the post operative period by the SAME physician. The patient is actually seeing a different physician for a different problem not related to the surgery. However she is within the global period on a surgery by the first orthopedic doctor. Can someone help me with the correct coding for this scenario?