modifier 24

  1. M

    Wiki Modifier -24 Different Specialty Same Group

    Hello, I work in a group orthopedic & spine practice. We have a patient that had surgery on their knee (orthopedic surgeon) and then has been seen by a physiatrist for back pain during the global period for the knee surgery. Would you bill the physiatrist E/M with a -24 modifier or with no...
    • mmmich1
    • Thread
    • different specialty group practice modifier 24
    • Replies: 2
    • Forum: Modifiers
  2. N

    Wiki Billing Modifiers 24 and 25 Together?

    We have a patient who had a skin lesion removed. Then the patient came in within that global period for an office visit separate from the skin lesion removal. During this office visit, the patient had an EKG performed. The patient's insurance, Medicare, considers an office visit performed on the...
    • nicoleysmith
    • Thread
    • billing modifier 24 and 25 together modifier 24 modifier 25 modifiers 24 and 25
    • Replies: 5
    • Forum: Modifiers
  3. C

    Wiki Modifier 24

    can someone clarify; a patient had a heart/cath placed for a atrioventricular block and about 6 weeks later came in for a OV for a fib. Would mod 24 be appropriate?? The procedure does have a 90 day global. TIA
  4. K

    Wiki Injection and Office Visit Billed together

    I have a claim where CPT 99213 was billed with modifier 24 along with a code for an injection. The medical record was submitted showing that the patient came into the office for a penile injection and the physician spent time teaching the patient how to self inject. I know that in order for an...
    • Kaylamh326
    • Thread
    • evaluation and management injection modifier 24
    • Replies: 2
    • Forum: E/M
  5. M

    Wiki modifier 24 - I have a biller

    I have a biller who says a 24 modifier is appropriate on a claim and I question the validity. Looking for validation for the following scenario: Patient had several procedures in June 2015, only 1 of which has a 90 day global, CPT 46930 Destruction internal hemorrhoid. In early Sept 2015, still...
    • melaapc04
    • Thread
    • global surgery modifier modifier 24 note patient
    • Replies: 3
    • Forum: Modifiers
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