The 24 modifier can be applied to ANY E/M code to signify that this E/M, performed during the global period for a previous procedure, was for a problem totally unrelated to that previous procedure.
So if patient comes in on 9-10-11 with a broken wrist and fracture care performed (90 day global), and THEN returns to E/R with a sprained ankle on 9-30-11, you would use the -24 modifier on the E/M service for the sprained ankle (totally unrelated to the broken wrist).
Hope that helps.
F Tessa Bartels, CPC, CEMC
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