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Wiki Preventive services vs post op

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1formissy

1formissy

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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!
 
throw a 24 modifier (E/M service not related to global care) on the preventative code and make sure his documentation supports it.
 
I would hook a modifier 24 (unrelated E/M service during post-op) it will get denied if not.
 
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