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Thread: modifier 24 & 57 ??

  1. #1

    Default modifier 24 & 57 ??

    AAPC: Back to School
    Pt is in a 90 day global admitted to the hospital 99223 , also major surgery same day.Do I need to use both 24 for 90 day global and a 57 for decision for same day surgery ? UHC insurance.
    Thanks for any help.

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Yes

    Yes - if .... big, red IF ... the reason for the return to surgery is NOT related to the original surgery. If it IS related to the original surgery then the E/M will be considered global, even if it's a decision for a new surgery.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    Thanks for the response, this is unrelated to the previous surgery.

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