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Use of modifier 24 in e/m coding may seem confusing at first, but the guidelines above should help Modifier 24 unrelated evaluation and management service by the same physician or other qualified healthcare professional during a postoperative period append modifier 24 to the e/m code of an unrelated e/m visit when the patient is in the global period of a surgery performed by the same provider or another provider in the same specialty group. When you have a clear understanding of the global period for procedures and what your payer includes in the global surgical package, you will have a much easier time knowing when to assign modifier 24.
Appending modifier 24 to alert the payer that an e/m service provided during the global period is unrelated to the previous procedure, you must append modifier 24 unrelated evaluation and management service by the same physician or other qualified healthcare professional during a postoperative period. To avoid denials for an e/m service on the same day as (or during the global period of) a procedure, try this foolproof method for choosing between 24, 25, and 57. Modifier 24 use is appropriate when
Modifier 24 unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period
Modifier 24 tells the payer that the surgeon is seeing the patient for a new problem. Cms guidelines stipulate that modifier 24 should be applied when a patient visits the same physician or qhp who performed their surgery for the treatment of a problem unrelated to the surgery within the global postoperative period. Applying the correct e/m modifier can boost your bottom line by $100
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