jmeberst314@gmail.com
Contributor
Hi,
I have a tricky situation here and I need some assitance. I have an E&M visit dated 12/18/2013 that was paid on by UHC but they took the money back due to the 90 day global period of a procedure on 12/19/2013. Now UHC says that I can send in a corrected claim with the appropirate modifier but I don't know which to use. Modifier -24 is for an unrelated E&M during the post operative period and -56 is the preoperative management but my office visit was a medication follow up and wasn't directly related to the surgery. What should I use to get the claim paid?
I have a tricky situation here and I need some assitance. I have an E&M visit dated 12/18/2013 that was paid on by UHC but they took the money back due to the 90 day global period of a procedure on 12/19/2013. Now UHC says that I can send in a corrected claim with the appropirate modifier but I don't know which to use. Modifier -24 is for an unrelated E&M during the post operative period and -56 is the preoperative management but my office visit was a medication follow up and wasn't directly related to the surgery. What should I use to get the claim paid?