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Modifier 24 vs Modifier 79

  1. #1
    Default Modifier 24 vs Modifier 79
    Medical Coding Books
    A patient had a triple CABG and 3 days after the procedure, the same Dr. sees the patient and documents postoperative anemia. The patient has transfusions. Modifier 24 is unrelated E/M service by same Dr. during a postop period. Modifier 79 is unrelated procedure or service by the same Dr. during the postop period. I am leaning toward modifier 79 but I am confused. Help please.

  2. #2
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    Then 24 is for E&M codes only and the 79 is for procedures only. You could not charge the E&M if this is a post op complication, the transfusion may or may not be reimbursed it will depend on the payer.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
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    Quote Originally Posted by mitchellde View Post
    Then 24 is for E&M codes only and the 79 is for procedures only. You could not charge the E&M if this is a post op complication, the transfusion may or may not be reimbursed it will depend on the payer.
    So it is the -79 since this is a procedure?

  4. #4
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    That is correct

    Debra A. Mitchell, MSPH, CPC-H

  5. #5
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    Thank you so much!

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