tci E/M Coding Alert - 2020 Issue Q2

Reader Question: Fine-Tune Your Modifier 24 Use With This Advice

Question: We just used modifier 24 for the first time and now we’re worried we may have used it wrong. Can you offer a breakdown of how to use it? Missouri Subscriber Answer: You will report modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) when the provider examines a patient within the 90-day global period of a major procedure, but for a different problem. When you report modifier 24, the E/M service must meet these criteria: The E/M service occurs during the postoperative period of...

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