No modifier is needed for a return visit unless the patient had surgery and is still in the post-op period.
ex: pt had cataract surgery on the right eye (90-day global), pt comes in a few days later with pain the the left eye. Since the pain in left eye is not related to the cataract surgery in the right eye, you would append modifier -24 to the e/m code as well as modifier -LT to let insurance know it's not related to surgery.
In regards to global periods, you can go to your local Medicare website or CMS.org. Medicare/CMS will have a list of procedures and what the global period is for that procedure or if the procedure has a global period.
- ICD-10 Trainings
- Comprehensive Courses
- CPC (Certified Professional Coder)
- COC (Certified Outpatient Coder)
- CIC (Certified Inpatient Coder) NEW!
- CRC (Certified Risk Adjustment Coder) NEW!
- CPB (Certified Professional Biller)
- CPMA (Certified Professional Medical Auditor)
- CDEO (Certified Documentation Expert – Outpatient) NEW!
- CPPM (Certified Physician Practice Manager)
- CPCO (Certified Professional Compliance Officer)
- VIEW ALL CERTIFICATIONS
Coding / Billing Solutions
- Audit / Compliance Solutions
Job Experience / Apprentice Removal
News / Discussion
- Other Resources
- Book Store
- Log In / Join