Preventive services vs post op

[1formissy]

I have a provider reporting a preventive service, 99395 during the post-operative period. The previous service was 19020. Same provider.

I cannot find anything regarding CMS guidelines pertaining to this. Is it allowed? If so, where can I locate that? I have searched CMS Medicare Claims Processing Manual, and other MLN Matters documents with no luck.

Any info would be most helpful!

Thanks!

 

[teresabug]

throw a 24 modifier (E/M service not related to global care) on the preventative code and make sure his documentation supports it.

 

[1formissy]

I am the payer, and there is no modifier 24 on the claim.

 

[krisw7067]

I would hook a modifier 24 (unrelated E/M service during post-op) it will get denied if not.