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Thread: Billing Medicare in a global period

  1. #1

    Question Billing Medicare in a global period

    AAPC: Back to School
    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
    Join Date
    Apr 2007


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

    you need a 78 or 58

  3. #3
    Join Date
    Apr 2007

    Default Global Period

    I agree, you need a modifier 78

  4. #4


    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. #5


    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. #7


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

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