Wiki modifier 24 - I have a biller

melaapc04

Guest
Messages
5
Location
naples, fl
Best answers
0
I have a biller who says a 24 modifier is appropriate on a claim and I question the validity. Looking for validation for the following scenario: Patient had several procedures in June 2015, only 1 of which has a 90 day global, CPT 46930 Destruction internal hemorrhoid. In early Sept 2015, still in the 90 day period, he returns to the office for what is scheduled as a 'post procedure follow up' and has no new problems. Chief complaint is that 'patient feels well and has heartburn when eating wrong foods.' Medicare denied as part of global period. Biller feels 24 is warranted because diagnosis codes for E/M in Sept differ fro diagnosis codes for procedure done in June. E/M note includes the chief complaint as above, normal review of systems, etc. No changes in history, no complaints, no new meds, normal exam. Assessment has a number of conditions but none are outlined in the note. Is a 24 modifier appropriate?
 
Top