EM Coding Alert

Tip: Look for a new problem before attaching 24.

When your provider sees a patient who is still within the global period of a surgical procedure, you will need to turn to modifier 24 (Unrelated evaluation and management service by the same physician or other qualifier health care professional during a postoperative period). Be sure you know when you can – and can’t – append 24 in order to seek payment for the E/M service.

Overcome modifier 24 claim challenges by busting five myths that will lead to denial after denial if you fall into their billing trap.

Myth #1: Modifier 24 Applies To Any Service Done In the Post-Op Period

You should only append modifier 24 to an appropriate E/M code when an E/M service occurs during a postoperative global period for reasons unrelated to the original procedure. Modifier 24 tells the payer that the surgeon is seeing the patient for a new problem.

“The very definition of the modifier states it plainly: ‘unrelated evaluation and management service,’” points out Charlotte T. Tweed, RHIA, CPC, coding auditor and GME interim compliance manager and privacy officer  at Florida Hospital in Orlando.

Rule: You cannot bill separately for E/M services relating to the original surgery during the global period. The global surgical package includes routine postoperative care during the global period.

Additionally: Modifier 24 only applies to services your physician performs after the surgical procedure. If your physician performs an E/M service before a procedure or on the day of that procedure, you would need a 25 modifier (for minor procedures) or the 57 modifier (for major procedures). “The 57 (Decision for surgery) modifier also applies to E/M codes done the day before the major procedure. This is true provided that the E/M code is significant and separately identifiable.”

Myth #2: A Scheduled Office Visit Rules Out Use of Modifier 24

Just because a patient is scheduled for an office follow-up post-operative visit related to his surgery, you shouldn’t automatically assume that you would be unable to bill for a separate service using modifier 24.

Example: A patient has a biopsy of a lesion. When the patient returns a week later for suture removal, he is notified that the pathological examination revealed a malignant tumor. The physician, then, has a face to face, discussion with the patient concerning new extended treatment for the tumor. The physician bills an E/M office visit based on the time he spent with the patient counseling him on the necessary therapy and coordinating his further treatment.

In this case, you should use modifier 24 to describe an E/M service unrelated to the surgery (only related to the disease process), says Marcella Bucknam, CPC, CCS-P, CPC-H, CCS, CPC-P, COBGC, CCC, manager of compliance education for the University of Washington Physicians Compliance Program in Seattle. “CPT^® would always allow this but even Medicare states that care directed at the underlying disease process is separately billable in the global period.”

Key: Even though the visit was scheduled as a follow-up post-operative visit, you can use modifier 24 to ensure payment when the above clinical circumstances occur. “People put too much emphasis on how a visit was scheduled,” Bucknam says. “No one typically sees your clinic schedule. It’s the documentation that counts. Additionally, no one would think that they shouldn’t bill separately if the patient came in for follow up and also had a broken finger! It’s the same thing, just more subtle.”

Myth #3: You Can’t Use Modifier 24 For Postoperative Services

When you report postoperative services to payers that follow CPT^® guidelines, you’ll need to append modifier 24 to the E/M code to indicate that the service took place during the surgery’s global period.

Example: If a patient has abdominal surgery and returns to your office with a postoperative wound infection along the suture line, you may be able to collect from private payers for an established patient visit and for the physician’s treatment of the infection.

If the physician treats the infection in his office, you may be able to file a claim using modifier 24 to those payers following CPT^® guidelines.

Myth #4: There Must Be a New Diagnosis If You Use Modifier 24

While a different ICD-9 diagnostic code might indicate that the E/M service performed in a global period was unrelated to the surgery, you do not have to have different diagnoses to append modifier 24 and to receive payment for those services.

“It is not necessary that the two services have a different diagnosis but it should be clear that the service is performed to discuss results, prognosis and treatment options and that any work done related to the surgery (change bandages, check wound, etc.) is not used to support the level of service billed,” Bucknam says.

Caveat: “It is not mandatory to have a different diagnosis,” Tweed agrees. “However, that said, for some insurance companies it is easier to get them to pay for the E/M completed during post op if the diagnosis is different.”

Pitfall: “Do not code the E/M if the documentation is short!” Tweed warns. “This would be considered fraud and certainly not an area where any coder [or biller] should go. The proper use of modifier 24 can legally increase revenue and should be applied if applicable.”

Myth #5: You Should Never Use Modifiers 24 and 25 Together

You may find yourself in situations where you need to combine the forces of modifiers 24 and 25 (Significant, separately identifiable evaluation and management service by the same physician or other qualified healthcare professional on the same day of the procedure or other service) to avoid a denial of a claim.

You can use 24 and 25 on the same claim, if you are seeing a patient for a completely new issue within the post op period, a procedure was done that same day, and the E/M code is significant and separately identifiable from the procedure.

Example: A patient undergoes major surgery. During the postoperative period, the patient comes for an office visit that is absolutely unrelated to the first surgery. At the unrelated E/M visit, the physician also performs a minor surgical procedure (such as a biopsy) unrelated to the initial surgical procedure. In this case, you will append both modifiers 24 and 25 to the E/M code — modifier 24 to allow payment of the E/M service in the global period of the initial surgery and modifier 25 to allow payment of the E/M service along with another procedure performed on the same day.

Tip: Always use the postoperative modifier (24) first, before you use other modifiers. Most computers sequence their edits, putting the postoperative period edits as the primary edit.