Coding > Coding

denied for post op

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sls:
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:
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

dekenn:
Actually, 99232 is a hospital visit, not a surgical procedure, so wouldn't you use modifier 24?

Michele:
My bad -  You are right.  The 24 is appropriate not the 79! 

 :-[

Michele

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