Technically, you shouldn't have to use modifier 24 since the PA's are two different specialties; however, I find that some carriers are not up to par with coding guidelines.
CPT Modifier “-24” - Unrelated Evaluation and Management Service by Same Physician During Postoperative Period
Carriers pay for an evaluation and management service other than inpatient hospital care before discharge from the hospital following surgery (CPT codes 99221-99238) if it was provided during the postoperative period of a surgical procedure, furnished by the same physician who performed the procedure, billed with CPT modifier “-24,” and accompanied by documentation that supports that the service is not related to the postoperative care of the procedure. They do not pay for inpatient hospital care that is furnished during the hospital stay in which the surgery occurred unless the doctor is also treating another medical condition that is unrelated to the surgery. All care provided during the inpatient stay in which the surgery occurred is compensated through the global surgical payment.
Coming from a coding compliance aspect, I think I would bring this CMS guideline to their attention and give them a quick coding 101.
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