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99221 with a 24 modifier

  1. #1
    Default 99221 with a 24 modifier
    Medical Coding Books
    One of our docs saw a patient that was admitted through the ER and was an inpatient, and he did a bowel resection for bowel infarction (557.0). She was sent home in good condition. Later the same day she returned to the ER with severe abdominal pain (789.00). She had a dehisence of anastamosis of the previous bowel resection that was done (997.4).

    My question is... would it be appropriate to charge for a 99221 with the 24 modifier for her return for her 2nd admission with the problem/complication due to the previous admission when she had the bowel resection?

    Thank you
    M Carrillo

  2. #2
    Default
    Modifier 24 says UNRELATED evaluation and management service by the same physician.

    Was there a procedure performed?

  3. #3
    Default
    Quote Originally Posted by mcarrillo View Post
    One of our docs saw a patient that was admitted through the ER and was an inpatient, and he did a bowel resection for bowel infarction (557.0). She was sent home in good condition. Later the same day she returned to the ER with severe abdominal pain (789.00). She had a dehisence of anastamosis of the previous bowel resection that was done (997.4).

    My question is... would it be appropriate to charge for a 99221 with the 24 modifier for her return for her 2nd admission with the problem/complication due to the previous admission when she had the bowel resection?

    Thank you
    M Carrillo
    Complications Following Surgery - All additional medical or surgical services required of the surgeon during the postoperative period of the surgery because of complications which do not require additional trips to the operating room;

    So first see if patient was returned back to OR.

  4. #4
    Default
    Pamasbury,

    Yes, a procedure was performed, a 443180 with a 78 modifier.

    Thanks

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