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global modifier

  1. #1
    Default global modifier
    Medical Coding Books
    Nursing home resident came to office, had excision on 11/5/08. Dr saw patient at nursing home on 11/14/08 for something unrelated to the excision on 11/5/08 billed with 99307. Excision has 10 day global period and on 11/14/08 this is 9 days. I called Medicare to have the claim reopened and was told that modifiers 24, 79 and 59 are not valid with CPT 99307. To me these are the only 3 modifiers that apply in this situation. Any other suggestions on how to get this paid? Thanks!

  2. #2
    I'm not sure where you're located but I would say the 24 modifier is the one you need. According to WPS, this is allowed:
    Maybe that person didn't know what they were talking about???
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I, AAPC Fellow
    National Advisory Board Member 2018-2021, Region 6 Great Lakes
    Minneapolis AAPC Chapter, Education Officer 2018
    AHIMA ICD-10-CM/PCS Trainer
    AAPC National ICD-10 Trainer

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