Wiki Is a modifier required?

[nancygard1]

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?

 

[Herbie Lorona]

Need more information about what is going on. Was any procedure done?

 

[nancygard1]

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]

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