Author Topic: denied for post op  (Read 1299 times)

sls

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denied for post op
« on: February 14, 2011, 09:39:44 AM »
billing 99232 visit for post op- there is a 90 day period for the procedure, but the doctor listed a different diagnosis code then the code that we did the surgery for.  what modifier can i use to report this as a different service to the surgery?   

Michele

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Re: denied for post op
« Reply #1 on: February 14, 2011, 11:54:17 AM »
I think you are looking for the 79 modifier:  "Unrelated service during postop period - Use on surgical codes only to indicate that the performance of a procedure during the postoperative period of another surgery was unrelated to the original procedure. Failure to use this modifier when appropriate may result in denial of the subsequent surgery."

Michele
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dekenn

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Re: denied for post op
« Reply #2 on: February 14, 2011, 02:06:40 PM »
Actually, 99232 is a hospital visit, not a surgical procedure, so wouldn't you use modifier 24?

Michele

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Re: denied for post op
« Reply #3 on: February 14, 2011, 05:26:43 PM »
My bad -  You are right.  The 24 is appropriate not the 79! 

 :-[

Michele
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