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24 modifier usage in the ED setting

  1. Default 24 modifier usage in the ED setting
    Medical Coding Books
    I am experiencing RAC letters and am getting reimbursment letters regarding surgery globals where a surgery was done at a previous visit but patient has returned for different presenting problem. Some are lac repairs and fracture cares from 2010 and 2009. Is the -24 used in the ED setting at all??? Does anyone have a website that this can be reviewed??

    Thx for any help regarding this.


  2. #2
    Milwaukee WI
    Default 24 modifier
    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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