tci General Surgery Coding Alert - 2014 Issue 6

Modifier 24: Reject Common Myths That Block Your Post-Op E/M Pay

Find out if you really need a new diagnosis. You don’t have to bundle every E/M service during a surgical global period. But just as surely, you can’t separately bill every E/M during global days. What you need is a nuanced understanding of modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) to learn when you can and can’t expect extra post-surgical E/M pay. Read on to overcome modifier 24 claim challenges by busting four myths that will lead to denials and/or lost pay...

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