Modifier -24, Unrelated evaluation and management
service by the same physician during postoperative
As the modifier indicates, this is another modifier that you can only append
with an E/M counter. It indicates that the E/M encounter is not related
during the global period.
Let's describe this modifier 24:
A pain specialist performed facet nerve destruction with 10 days global for
the patient. During the normal, postoperative global period, the patient
came in to the office with severe knee pain due to fall on ice as evidenced
by the patient's subjective information. The pain specialist will then report
that E/M encounter with the patient by appending modifier 24 to indicate
that encounter is not related during the postoperative global period.
This modifier, like modifier 25 has no restriction as with the level of E/M
code as long as it meets medical necessity, all its components or are time-