Well, the -24 modifier is for an unrelated E/M service in the postoperative period ... so I don't think that would apply, since it's the same problem.... UNLESS ... see below
You say that the reason the patient is coming to you now is "hospital policy" and that the surgeon isn't doing an H&P. Why isn't the surgeon doing the H&P; the surgeon is being paid for the H&P as it is part of the RVUs of the procedure. The surgeons I work for do their own H&Ps; they are, after all, legally and medically responsible for the patient during this admission for surgery.
If the procedure you performed was CPT 10120 or 10121 then there is only a 10-day global period ... if you're outside the 10-days you don't need a modifier at all.
If the surgeon is requesting a consultation on co-morbidity issues (perhaps your patient has HTN or DM or ??) then you could code a consultation with the -24 modifier (as the HTN or DM would be your dx and that is unrelated to having glass in the knee).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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