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Billing Medicare in a global period

  1. Question Billing Medicare in a global period
    Medical Coding Books
    I have a patient we saw in the ER, we did closed reduction and casted her, she still required internal fixation which we did 2 weeks later as an outpatient procedure with a modifier of 24. but it was denied as global, any help or ideas would be appreciated. Thanks

  2. #2
    A 24 is an E/M modifier you can't put 24 on surgical procedure.

    you need a 78 or 58

  3. #3
    Default Global Period
    I agree, you need a modifier 78

  4. Question
    I thought that as well so when I first sent it out I put 78 it was denied so I thought maybe I was confused and sent with 24, so If it is denied globally with the 78 what are my options, just to appeal?

  5. Default
    Unless the internal fixation is done because of a complication, you should be using modifier 58--staged or related. Sounds like it was planned.


  6. #6
    I agree, if the ORIF was planned it should be billed with a modifier 58.

  7. Smile
    There was no complication so it was planned, I will try that, Thank you.

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