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-78 with postop visit

  1. #1
    Question -78 with postop visit
    Exam Training Packages
    please help me
    at the 1st postop visit surgeon decides to go back to OR for hardware complications
    I know to use -78 but can I use 99024 or applicable ofc visit code?
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

  2. #2
    Location
    Milwaukee WI
    Posts
    4,466
    Default -78 on surgery
    The -78 modifier will go on the surgery.

    The office visit at which the problem was identified ...
    Medicare (or T-19) just won't pay for any office visits in the postoperative period unless it is COMPLETELY unrelated to the original surgery. So you'll be using 99024 for the postop follow-up with no charge.

    Some commercial payers MIGHT accept an established office visit with a -24 modifier and a dx that is different from the original dx for the surgery.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Default
    Thanx

    Quote Originally Posted by ftessabartels View Post
    the -78 modifier will go on the surgery.

    The office visit at which the problem was identified ...
    Medicare (or t-19) just won't pay for any office visits in the postoperative period unless it is completely unrelated to the original surgery. So you'll be using 99024 for the postop follow-up with no charge.

    Some commercial payers might accept an established office visit with a -24 modifier and a dx that is different from the original dx for the surgery.

    Hope that helps.

    F tessa bartels, cpc, cemc
    Rachele Porter, AS, CPC, CPC-H, CEDC
    no weapons formed against me shall prosper

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