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Thread: Modifier 24

  1. #1
    Join Date
    Apr 2007
    Richmond, IN

    Default Modifier 24

    AAPC: Back to School
    Hello, I have a case that the patient had a cholecystectomy and then, while still in the 90 day global period, the patient was seen for an enlarged lymph node...coded as: 99214-24 dx 785.6 ...Medicaid is denying this stating it is global! Totally different issue, attached the -24 mod to express this...
    We are getting quite a few denials like this for some reason from Medicaid.
    Just want to make sure I am in the right for appealing this and I am not missing something...
    Any feedback is appreciated!
    Thank you!
    ~Melissa Rufenbarger, CPC

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default Appeal with documentation

    I would appeal with documentation showing an unrelated E/M.

    Hope that helps

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007


    Seems like the appeal is the only option. There is nothing that you did wrong.

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