Wiki modifier 24 & 57 ??

[carol52]

Pt is in a 90 day global admitted to the hospital 99223 , also major surgery same day.Do I need to use both 24 for 90 day global and a 57 for decision for same day surgery ? UHC insurance.
Thanks for any help.

 

[FTessaBartels]

Yes

Yes - if .... big, red IF ... the reason for the return to surgery is NOT related to the original surgery. If it IS related to the original surgery then the E/M will be considered global, even if it's a decision for a new surgery.

Hope that helps.

F Tessa Bartels, CPC, CEMC

 

[carol52]

Thanks for the response, this is unrelated to the previous surgery.