The current procedural terminology (CPT) describes the postoperative follow-up visit with the 99024 CPT code.
Description Of The 99024 CPT Code
CPT code 99024 usually comprises the surgical package to designate that the provider did perform an evaluation and management service during a postoperative period for reasons related to the original procedure.
Official description CPT code 99024: “Postoperative follow-up visit, normally included in the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure.“
The provider performs an E/M examination during the global surgical period for surgery; the patient already had gone through it before.
The global surgical package, also called global surgery, includes all the compulsory services generally supplied by a surgeon before, during, and after a procedure.
Medicare payment for a surgical procedure consists of preoperative and intra-operative.
The provider typically performs the postoperative services or associates of the same group with the same specialty.
While submitting the postoperative follow-up visit, first understand the usage of the 99024 CPT Code.
It is a Medicare bundled code with zero relative value units (RVUs). And it has no fee on the Medicare Physician Fee Schedule (MPFS); CMS is interested in collecting this information.
Medicare may reimburse bundled code, but not when the provider has performed the service.
Because government insurance pays for the service in advance, it is suitably interested in whether the provider performs it.
Thorough postoperative care minimizes the risk of surgery problems, including pain, helps manage the side effects of the procedure, and supports recovery.
There are some general guidelines for postoperative period billing.
The same provider executes a distinct procedure or evaluation and management service during a postoperative period.
The coder or biller may use two modifiers to simplify billing for visits and other methods in the postoperative period of a surgical procedure but not included in the payment for the surgical procedure.
Modifier 79 narrates the process (unrelated) or service by the same physician during a postoperative time.
The health professional may need to indicate that a function or service furnished during a postoperative period was unrelated to the original procedure.
A new postoperative period begins when someone bills the irrelevant method. Modifier 24 is represented as (unrelated evaluation and management service by the same physician during a postoperative period).
The physician may need to indicate that he provides the assessment and management service during an unrelated procedure’s postoperative period.
An E/M service billed with modifier 24 medical notes must support that the service is irrelevant to the postoperative care of the technique.
The CPT 99024, when performing an evaluation and management service during a global period, is related to the procedure for which the patient is in the worldwide period. It applies to services with 10–and 90–day global periods.
Some have viewed the reporting of this code as optional because it is not associated with any payment.
Knowing those who practice (in Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon, and Rhode Island) is essential.
When it is appropriate, the Centers for Medicare and Medicaid Services (CMS) require CPT 99024 in those states.
While submitting the postoperative follow-up visit (CPT 99024), one must report these visits through the normal process for filing a claim.
The coder or biller should submit provider, patient, and date-of-service information for claim submission.
The postoperative visit (CPT 99024) does not need to link the related 10–day or 90–day global code, and it is not essential to add any modifiers.
The provider should follow standard Medicare billing requirements to determine that he provided the visits and correctly used the code.
Notably, the Centers for Medicare & Medicaid Services (CMS) may use the collected data to revalue surgery CPT codes.
Therefore, providing complete and precise information about postoperative visits is critical.
Correct usage of postoperative follow-up CPT 99024 is also applied in teaching hospitals and to services provided by residents. Moreover, the provider must be present during postoperative follow-up visits in the primary or critical portions of the service.
The reporting requirement dictates using the 99024 CPT code for all postoperative visits in the global package, not just office visits.
CMS states it in its Global Surgery Data Collection Requirement. Reporting the 99024 CPT code for all postoperative follow-up visits is mandatory.
But it must be during the global period, regardless of the postoperative care setting.
The CPT code 99024 for postoperative care will help ensure surgeons are reimbursed sufficiently for all their work.
And help postoperative physician visits achieve better health results for patients
The following are examples of when the 99024 CPT code can be used.
A 44 – year old patient was seen in the provider’s office five days ago with a 2.5 – cm laceration to the right anterior side of the wrist. An intermediate layered closure was performed (CPT code 12031).
The same patient now presents with redness, swelling, and drainage to the sutured area. The final diagnosis was infected laceration.
The coder correctly gives the following CPT code, in this case, 99024 CPT code Postoperative Follow-Up Visit, Included Surgical Package, E&M Performed.
The modifier is not acceptable because all services go under the code assigned.
In the second example, a 56 – year old male patient was seen in the provider’s office 30 days ago for permanent sterilization or contraception (CPT 55250).
The same patient again visits the provider’s office to confirm the complete sterilization in the semen test. There is no reason for the visit to sterilize (ICD – 10 CM code Z30.2).
After reviewing the previous surgical data and current medical notes, the coder suggests CPT code 99024 as a postoperative follow-up visit and diagnosis code Z30.2.