nyyankees
True Blue
can anyone direct me to the policy that states whether reporting modifier 24 and 25 on the same E/M code is appropriate or not? Thanks.
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten your username or password use our password reminder tool. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki Modifier 24 + 25-can anyone direct
- Thread starter nyyankees
- Start date
RebeccaWoodward*
True Blue
Couple of sites...
A physician performs a major surgery and within the global period sees the patient for an unrelated E/M visit. During this unrelated E/M visit, the physician determines the necessity of a minor surgery or other procedure. This minor surgery/other procedure is separate and identifiable from the E/M and unrelated to the original major surgery. Both the 24 and 25 modifiers are appropriate to add to the E/M code. The 24 modifier is appropriate because the E/M service is unrelated and during the postoperative period of the major surgery. The 25 modifier is also needed to identify that the minor surgery/procedure performed on the same day is separately identifiable from the E/M service.
http://www.wpsmedicare.com/part_b/education/modifier_24.pdf
When a visit occurs on the same day as a surgery with no global days, but within the global period of another surgery AND the visit is unrelated to both surgeries, it is necessary to submit CPT modifiers 25 and 24.
http://www.palmettogba.com/palmetto... Modifier 25?open&navmenu=Browse^by^Topic||||
A physician performs a major surgery and within the global period sees the patient for an unrelated E/M visit. During this unrelated E/M visit, the physician determines the necessity of a minor surgery or other procedure. This minor surgery/other procedure is separate and identifiable from the E/M and unrelated to the original major surgery. Both the 24 and 25 modifiers are appropriate to add to the E/M code. The 24 modifier is appropriate because the E/M service is unrelated and during the postoperative period of the major surgery. The 25 modifier is also needed to identify that the minor surgery/procedure performed on the same day is separately identifiable from the E/M service.
http://www.wpsmedicare.com/part_b/education/modifier_24.pdf
When a visit occurs on the same day as a surgery with no global days, but within the global period of another surgery AND the visit is unrelated to both surgeries, it is necessary to submit CPT modifiers 25 and 24.
http://www.palmettogba.com/palmetto... Modifier 25?open&navmenu=Browse^by^Topic||||