buuvaneisswaran
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I am having bit confusion over this scenario..
An established patient who had already received Laceration procedure[12011] and his insurance is BCBS HMO Plan.I verified that procedure 12011 has 10 days Global days.But within this global days the patient had returned to outpatient hospital settings and received I&D abscess drainage hand[10060] and EM [99214] by different physician. The EM performed now gets denial for being performed within global days.
Do i need to append Modifier 24.But Modifier 24 could be used when Unrelated EM service by same physician during postoperative period.Plz help me![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
An established patient who had already received Laceration procedure[12011] and his insurance is BCBS HMO Plan.I verified that procedure 12011 has 10 days Global days.But within this global days the patient had returned to outpatient hospital settings and received I&D abscess drainage hand[10060] and EM [99214] by different physician. The EM performed now gets denial for being performed within global days.
Do i need to append Modifier 24.But Modifier 24 could be used when Unrelated EM service by same physician during postoperative period.Plz help me
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