Nursing home resident came to office, had excision on 11/5/08. Dr saw patient at nursing home on 11/14/08 for something unrelated to the excision on 11/5/08 billed with 99307. Excision has 10 day global period and on 11/14/08 this is 9 days. I called Medicare to have the claim reopened and was told that modifiers 24, 79 and 59 are not valid with CPT 99307. To me these are the only 3 modifiers that apply in this situation. Any other suggestions on how to get this paid? Thanks!
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Wiki global modifier
- Thread starter cmac
- Start date
I'm not sure where you're located but I would say the 24 modifier is the one you need. According to WPS, this is allowed:
http://www.wpsmedicare.com/part_b/education/modifier_24.pdf
Maybe that person didn't know what they were talking about???
http://www.wpsmedicare.com/part_b/education/modifier_24.pdf
Maybe that person didn't know what they were talking about???