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E/M services during a global period that are unrelated to the procedure can be billed with what modifier?

1 Answer

3 votes

Final answer:

During a global period, E/M services unrelated to the procedure can be billed with the -24 modifier.

Step-by-step explanation:

During a global period, which is the designated period following a surgical procedure, if a patient needs an evaluation and management (E/M) service that is unrelated to the original procedure, it can be billed with the -24 modifier.

For example, if a patient has a surgery and then experiences chest pain a week later, the E/M service for the chest pain can be billed with the -24 modifier to indicate that it is unrelated to the procedure.

It's important to note that the E/M service must meet the criteria for a separate and identifiable service, medically necessary, and have documentation to support it.

answered
User Matt Pitkin
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