Results 1 to 7 of 7


  1. #1
    Default modifier
    Medical Coding Books
    does anyone know, when a patient has a procedure (say an excision & they are in a 10 day global period) and they are seen for something else 8 days later that is not related to the excision, what modifier to use? Medicare is denying stating it needs a modifier, i tried 79 and that is not correct. Any suggestions???

  2. #2
    If you are billing an E/M code, you would use modifier 24.

    Hope this helps!

    Teresa Collins, CPC

  3. #3
    Default modifier
    i don't think this applies b/c we are not an ambulatory sugical center we are a physician's office, thanks though

  4. #4
    North Carolina
    Modifier 24 can be used for POS 11(place of service), physician office.

    on the 2nd link, review page 9
    Rebecca CPC, CPMA, CEMC

    Your click COUNTS...

    CLICK to give FREE mammograms!

  5. Default
    Use the 24 modifier if it an E/M code, I worked at Medicare for 16 years and you should use the 24 mod and your DX must indicate a different DX, and if you have a pt with a chronic condition, use that DX too, ASC has nothing to do with it.

    the 79 is for only surgical codes anyway, hope this helps!!

  6. #6
    Bettendorf, Iowa
    if its an E&M code its a 24, but the diagnosis should be different from the global procedure... and hopefully your physician has documented correctly incase you have to sent records.

  7. #7
    Default modifier
    yes this makes more sense to me now, thanks guys!

Similar Threads

  1. Replies: 2
    Last Post: 09-18-2015, 01:17 PM
  2. Modifier 59 vs Modifier 91 for Laboratory
    By leahrey in forum Modifiers
    Replies: 1
    Last Post: 06-23-2015, 12:01 PM
  3. MODIFIER PT VS MODIFIER 33 Screening Colonoscopy
    By Ann Johnson in forum Modifiers
    Replies: 2
    Last Post: 07-19-2012, 07:08 AM
  4. Modifier 58 versus Modifier 78
    By Ramona03 in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 06-04-2012, 12:10 PM
  5. Modifier 51 Versus Modifier 59
    By Sborkowski in forum Modifiers
    Replies: 3
    Last Post: 05-26-2009, 03:59 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.