According to CPT, what can be reported with Modifier -24?

Modifier -24 is specifically used in the context of Evaluation and Management (E/M) services to indicate that a service is unrelated to the procedure performed during a postoperative global period. This modifier can be appended to an E/M service when the patient requires additional assessment or management for a condition that is not related to the recent surgical procedure.

When a physician provides services to address an unrelated problem during the global period following surgery, it is crucial to use modifier -24 to indicate that the visit was separate from the surgical procedure and should be billed accordingly. This categorization allows for appropriate reimbursement for the E/M service provided, even though the patient is still within the global period of the surgical procedure.

Understanding modifier -24 is vital for correct coding practices, as it not only aids in proper reimbursement but also ensures the distinction between different types of services is clear in a patient’s medical records. This distinction is essential for both clinical management and billing purposes.