What is a modifier 24 used for?

What is a modifier 24 used for?

Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period. Medicare defines same physician as physicians in the same group practice who are of the same specialty.

What is U2 modifier?

U2 – Medicaid level of care 2, as defined by each state. The above description is abbreviated. This code description may also have Includes, Excludes, Notes, Guidelines, Examples and other information.

Can you bill modifier 24 and 57 together?

E/M service resulting in initial decision to perform major surgery is furnished during post-operative period of another unrelated procedure, then the E/M service must be billed with both the 24 and 57 modifiers.

What is the HF modifier?

HF – Substance abuse program.

What is the difference between modifier 24 and modifier 25?

Modifier 24 refers to the evaluation and management services provided to the patient on the day of a surgical procedure unrelated to the procedure itself. Modifier 25 identifies the evaluation and management services as unique services provided on the same day by the same medical professional.

What is modifier 24 and when do you use it?

Use Modifier 24 with the appropriate level of E/M service. Use Modifier 24 on an E/M when: An unrelated E/M service is performed beginning the day after the procedure, by the same physician, during the 10 or 90-day post-operative period.

What is modifier 24 used for?

Use Modifier 24 Correctly. Modifier 24 (Unrelated evaluation and management service by the same physician during a postoperative period) is to be used to report an unrelated E/M (evaluation and management) service during the global period of a previous procedure. The expression “same physician” includes other “same-specialty physicians”.

What is the difference between modifier 24 and 25?

mod 24 is to be appended when the pt is in a global period and is seen for follow up for something not related to the reason that they had the procedure for. Modifier 25 is appended when the pt is seen for an office visit and a procedure is done the same day.

Can modifier 24 and 25 be used together?

If modifiers 24 and 25 both apply, then both should be used – not sure why you were told not to use those together, but they will definitely both be required to prevent a denial if you are in the global period and on the same day as a procedure.