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Post-OP Visit and Office visit, Same Day

  1. Default Post-OP Visit and Office visit, Same Day
    Medical Coding Books
    I have a patient that is being seen for a post-op visit 99024. The Patient is also being seen in the same visit for a new injury/diagnosis. Can I also bill 99213? Would I need to add -25 Modifier?

  2. Default
    When the Patient visit the same dr in the Global Period llike 99213 use Modifier 24 with E & M service.

  3. #3
    North Carolina
    Rosline is correct.......

    Modifier “-24”: Reports an unrelated evaluation and management service by same physician during a postoperative period. The physician may need to indicate that an evaluation and management service was performed during the postoperative period of an unrelated procedure. This circumstance is reported by adding the modifier “-24” to the appropriate level of evaluation and management service.

    Services submitted with the “-24” modifier must be sufficiently documented to establish that the visit was unrelated to the surgery. An ICD-9-CM code that clearly indicates that the reason for the encounter was unrelated to the surgery is acceptable documentation.

    Section 40

    Ohhh...make sure you reference the new injury date on your claim
    Last edited by RebeccaWoodward*; 04-07-2009 at 06:36 AM.

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