Is a modifier required?

nancygard1

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Child pt seen in pediatrics on 8/5 with sinusitis. Next day 8/6, child injures foot and seen in pediatrics with closed facture treatment. The injury did not occur on 8/5 but would it still require modifier 57?
 

nancygard1

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Yes. 28475 on 8/6. The patient was seen the day before the injury for sinusitis. No injury had occurred on 8/5.

Thanks
 

Herbie Lorona

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What code are they denying? If they are denying the office visit on 8/05 for global then it would require a 24 modifier
 
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