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E/M and injections

  1. #11
    Location
    Central Mississippi
    Posts
    26
    Default E/M injections
    Medical Coding Books
    Modifier -59 would be used if the injection is done withing the global period of another procedure performed by the same physician. Then, the E/M would also have to have modifier -24, both modifiers conveying to the insurance payers that these services were unrelated to the procedure with the global period. If, in addition to the E/M being unrelated to the procedure and being performed within the global period of said procedure, it is in addition to an unrelated to a procedure done on the same day, use modifier -25 also.

  2. #12
    Default
    Quote Originally Posted by neatmon View Post
    Modifier -59 would be used if the injection is done withing the global period of another procedure performed by the same physician.
    Actually it wouldn't be mod-59, but mod-79 in this example.
    Walker Bachman, CPC, CPPM

  3. #13
    Location
    Columbia, MO
    Posts
    12,531
    Default
    That is exactly what I was getting ready to type when Walker's response popped up. So yes I agree with Walker!

    Debra A. Mitchell, MSPH, CPC-H

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