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Thread: ? Modifier

  1. #1
    Join Date
    Apr 2007
    Kansas City Mo

    Unhappy ? Modifier

    AAPC: Back to School
    Hospital discharge 99238(3/12) denied global to 11200 skin tag removal(3/11) on newborn -Different day What modifier would be used!?
    Last edited by auntb; 04-04-2011 at 08:43 AM.

  2. #2
    Join Date
    Apr 2007
    Lubbock, TX


    If it was the same physician, then use 24 on the discharge. If it was a different physician, appeal with records. Hope that helps!

  3. #3
    Join Date
    Apr 2007
    Kansas City Mo



  4. #4
    Join Date
    Apr 2007
    Milwaukee WI

    Default 10-day global

    11200 has a 10-day global period. If the discharge was TRULY separate from the procedure, then it would be appropriate to use the -24 modifier. HOWEVER, if it was mostly connected to the skin tag issue, then the service is global to the procedure and should not be billed at all.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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