Wiki Question

[Jashani1]

If the Dr performed a procedure on a hospital patient on one day, then billed 99232 for the next 2 days do the 99232 require a modifier? Or are they inclusive to the procedure?

 

[KCROSS]

It depends on the circumstances. Was the procedure planned or was it done urgently or at the request of another doctor? If it wasn't planned, a follow up may be warranted. I'm assuming the procedure done had a 0-day global. Since your doc is billing mid-level follow up code, I'm assuming the patient is fairly sick and the follow up visits are billable (if the documentation supports it). In the practice where I work, if the procedure is minor but the patient was kept overnight with no complications, a follow up visit is not charged.

I hope this helps...

 

[KCROSS]

forgot your main question: if the procedure has a 0 global, no modifier is needed. Otherwise, you will need modifier 24 if the follow-up visits are not related to the procedure

 

[Jashani1]

Thank you Karen the patient was inpatient at the time of service.

 

[KCROSS]

You can still use a 24 modifier in the inpatient setting...sorry if I am misunderstanding what you said

 

[AngieH]

If the procedure has a 0 global, then the follow up visits are billable. If there is a global on the procedure, the follow up visits cannot be billed unless they are unrelated to the procedure, in which case you can use modifier 24 on the visits.