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Thread: Global Exam Denial

  1. #1

    Default Global Exam Denial

    AAPC: Back to School
    Hey coding friends,

    Can you tell me if anyone out there is having issues with getting an office exam paid for the (other) eye when in the global period of a cataract surgery for the intial eye? We have been billing them as the exam code with modifer 24/25 then RT or LT depending on which one needs to been done on the second surgery. Trouble is we are having to use the same diagnosis code as original surgery so this is kicking our claims back as non covered and within the global period. Any help is appreciated.


  2. #2


    We bill 92012 - 24 only and have not had an issue with payment.

  3. #3
    Join Date
    Apr 2007


    If the exam is being done a day prior to the surgery of second eye it will not be paid as the global period starts from one day before.
    Last edited by Tiger; 09-30-2011 at 09:28 AM.
    Tiger, CPC, CEMC, CPMA

  4. #4
    Join Date
    Apr 2007

    Default modifier 24

    If pt is with in Global period and coming back for an independent E/M use 24.

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