When can I use modifier 24?

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. Documentation indicates the service was exclusively for treatment of the underlying condition and not for post-operative care.

Does modifier 24 or 25 go first?

The 24 modifier is appropriate because the E/M service is unrelated and during the postoperative period of the major surgery. The 25 modifier is necessary to identify that the minor surgery/procedure performed on the same day is separately identifiable from the E/M service.

What is the difference between modifier 24 and 79?

Both can refer to unrelated procedures by the same physician. However, 79 focuses on the post-operative period, while 59 centers more specifically around same-day or same-session procedures. Finally, modifier 24 covers only E/M services by the same physician during the post-op period.

Which is the best definition of modifier 24?

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.

When to use modifier 24 for eye exams?

General ophthalmological services (92002-92014), which are eye examination codes. Use Modifier 24 with the appropriate level of E/M service. 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 does modifier 25 mean on an X-ray?

Modifier 25 is used to report surgical procedures, labs, X-rays, and supply codes that the physician documents as a separately identified E&M service performed on the same day as another procedure. The E&M service may be prompted by the symptom or condition for which the procedure and/or service was provided.

When to not use modifier 24 in E & M coding?

Do not use modifier 24 under the following conditions: the E&M service is for a surgical complication or infection (included in the surgery package); the service is for removal of sutures or other wound treatment (included in the surgery package); the surgeon admits a patient to a skilled nursing facility for a condition related to the surgery;