Ortho Surgeon. Medicare patient.
07/23 Pt fell and fractured her patella. Doctor did ORIF
08/29 Pt fell in post op period and tore patellar tendons that were repaired by the same Doctor.
09/06 Pt fell in post op period again and had a retear of tendons per the dictation from the same Doctor. They are not going to repair it now.
Would we bill the 09/06 as a new injury for this since it occurred from a different fall? Just want to make sure if Modifier 24 would be appropriate for this situation since it's the same site (appears that way at least from the dictation) but a new/reinjury situation as they had previously been repaired?
Thank you!
07/23 Pt fell and fractured her patella. Doctor did ORIF
08/29 Pt fell in post op period and tore patellar tendons that were repaired by the same Doctor.
09/06 Pt fell in post op period again and had a retear of tendons per the dictation from the same Doctor. They are not going to repair it now.
Would we bill the 09/06 as a new injury for this since it occurred from a different fall? Just want to make sure if Modifier 24 would be appropriate for this situation since it's the same site (appears that way at least from the dictation) but a new/reinjury situation as they had previously been repaired?
Thank you!