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Preventive services vs post op

  1. #1
    Default Preventive services vs post op
    Medical Coding Books
    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!
    Missy Davis CMC,CPMA

    Choose a job you love, and you'll never work a day in your life. ~ Confucious

  2. #2
    Default
    throw a 24 modifier (E/M service not related to global care) on the preventative code and make sure his documentation supports it.
    Teresa Kelley, CPC
    Detroit, MI AAPC Chapter member

  3. #3
    Default
    I am the payer, and there is no modifier 24 on the claim.
    Missy Davis CMC,CPMA

    Choose a job you love, and you'll never work a day in your life. ~ Confucious

  4. #4
    Default
    I would hook a modifier 24 (unrelated E/M service during post-op) it will get denied if not.

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