SEP 02, 2016
Related Exams During Global Period
Question: A patient with punctal plugs came back within 10 days with the same complaints. We submitted 92012 with modifier -24 for the same diagnosis. The payer denied the claim, stating that the procedure payment includes this. Do I need to change the diagnosis?
Answer: The patient returned with the same complaints within the global period for the first procedure. Therefore, the exam is included in the 10-day global period and not separately billable.