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Thread: Pta/thrombectomy has 90 days global

  1. #1

    Default Pta/thrombectomy has 90 days global

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    Please help,
    Humana is denying subsequent visits as 90 days (global) after pta/thrombectomy of the femoral artery.
    Thank you
    JO

  2. #2
    Join Date
    Apr 2007
    Location
    Spokane, WA
    Posts
    140

    Default

    You need to add a 24 modifier to E & M visits during the Post Op period. However before you append a 24 modifier you need to verify that the pt was seeing for a reason other than the procedure that was performed (read the definition in the Appendix A of the CPT.) If it is just a normal post operative follow up you can not bill for subsequent visit.

  3. #3

    Default

    Quote Originally Posted by Misty Dawn View Post
    You need to add a 24 modifier to E & M visits during the Post Op period. However before you append a 24 modifier you need to verify that the pt was seeing for a reason other than the procedure that was performed (read the definition in the Appendix A of the CPT.) If it is just a normal post operative follow up you can not bill for subsequent visit.
    wait a minute. Which code did you use?
    Theresa CCS-P CPMA CCC ICDCT-CM

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