tci Medicare Compliance & Reimbursement - 2024 Issue Q3

FAQ: Get the Answers to Your Frequently Asked Modifier 24 Questions

Remember, not all postoperative services warrant using modifier 24. Have you used modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) when coding for a patient who requires an evaluation and management (E/M) service after they had surgery? The good news is that you may have been on the right track if the E/M service fits the criteria for modifier 24 use. However, there are several postoperative circumstances where using modifier 24 is inappropriate. For example, what if the E/M service was performed on the same day...

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