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Is a modifier required?

  1. #1
    Default Is a modifier required?
    Exam Training Packages
    Child pt seen in pediatrics on 8/5 with sinusitis. Next day 8/6, child injures foot and seen in pediatrics with closed facture treatment. The injury did not occur on 8/5 but would it still require modifier 57?

  2. #2
    Default
    Need more information about what is going on. Was any procedure done?
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

  3. #3
    Default
    Yes. 28475 on 8/6. The patient was seen the day before the injury for sinusitis. No injury had occurred on 8/5.

    Thanks

  4. #4
    Default
    What code are they denying? If they are denying the office visit on 8/05 for global then it would require a 24 modifier
    Herbie W Lorona Jr., CPC, CPC-H
    hlorona@up2parmedicalclinic.com

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