sjmccarl52
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Scenario: Patient comes in for first visit and is diagnosed with bilateral carpal tunnel syndrome. She schedules the first surgery. At postop visit she schedules other hand and physician charges either level 3 or level 4 (2 different physicians) along with postop n/c visit. We are getting the level denied even though I am using two modifiers.....24 and 57. Can we really charge a level when pt was diagnosed as bilateral at first visit? The only thing documented for next surgery is that "patient wants to proceed with surgery on right side and we will schedule this for sometime soon. A complete history and physical were placed on the chart." Any thoughts?