Question on Post Op E&M visits

tmr1965

Guru
Messages
210
Location
Zephyrhills, FL
Best answers
0
If during a global period a patient is seen back at the hospital by the same provider but the actual Dx is different would that constitute a modifier 24 even if it seems related to the previous procedure?:confused:
 

thomas7331

True Blue
Messages
3,148
Best answers
8
If it is related to the surgery, then the modifier 24 would not be appropriate. If there was a complication you could expect to see a new diagnosis, but that by itself does not indicate that the service are or are not related to the original procedure.
 

hsmith67

Guru
Messages
108
Location
Greenville, NC
Best answers
0
post op E&M

I would suggest you ask the physician if the follow up dx is related/caused by the surgery. If no, add mod 24. If yes, then it's a post op complication covered in the surgical global package.
 
Top