tci Part B Insider - 2010 Issue 21

Reader Questions: Add Modifier 24 for New Service During Global

Question: Our doctor completed an L5 laminectomy on a patient. Two weeks later, the patient presented to the Emergency Department (ED) with burning lower extremity pain, perineal numbness, and difficulty urinating. Our physician was brought in and completed a lumbar puncture while the patient was still in the ED. How should we code the ED services?Answer: Assuming the problem is unrelated to the initial surgery, you'll report the ER visit and lumbar puncture, plus the appropriate modifiers.Begin with 99282 (Emergency department visit for the evaluation and management of a patient, which requires these three key components: an...

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