When to use 99024?
Asked by: Prof. Jaylen Morissette PhD | Last update: September 1, 2025Score: 4.7/5 (54 votes)
Where is 99024 in the CPT book?
CPT code 99024 can be found in the “Medicine” section of the CPT code book under the category for postoperative follow-up visits. It is listed among codes that relate to non-billable follow-up care provided during the global surgical period.
What is CPT 99024 charge?
99024 is a post-op visit which shouldn't have a fee assigned to it. If you submit this code to your carriers and your software won't allow a 0 (zero) fee, I would link it to 1 cent. We don't submit this code to our carriers...we post it for statistical purposes.
Does Medicare pay 99024?
CPT® 99024 is a Medicare bundled code with zero relative value units (RVUs) and no fee on the Medicare Physician Fee Schedule (MPFS), so you may wonder why CMS is interested in collecting this data. In fact, a Medicare bundled code is reimbursed by Medicare, but not at the time the service is performed.
What is considered a post-op visit?
Post-operative visits are defined as follow-up evaluation and management services performed during the post-operative period for reasons related to the original procedure.
What's going on with CPT Code 99024?- Global Surgery Data Collection
What is the CPT code 99024 used for?
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.
When should you have a post op appointment?
Most patients are scheduled for a postoperative evaluation 1-2 weeks after surgery to ensure the wound is healing well, discuss any concerns and to discuss pathology results.
Do you pay a copay for a post-op visit?
Answer: The visits that would be considered post-op visits should not be charged to the patient or insurance.
What is the 57 modifier used for?
CPT modifier 57 may be used to report the decision for surgery for certain codes. This modifier may be used to indicate that an evaluation and management (E/M) service performed on the same day or the day before a major surgery (090 global days) by the surgeon resulted in the decision to perform the procedure.
How to bill for a preoperative visit?
Most pre-op exams will be coded with Z01. 818. The ICD-10 instructions say to use the preprocedural diagnosis code first, and then the reason for the surgery and any additional findings. Evaluations before surgery are reimbursable services.
When to use modifier 55?
POSTOPERATIVE MANAGEMENT ONLY: WHEN ONE PHYSICIAN PERFORMS THE POSTOPERATIVE MANAGEMENT AND ANOTHER PHYSICIAN HAS PERFORMED THE SURGICAL PROCEDURE, THE POSTOPERATIVE COMPONENT MAY BE IDENTIFIED BY ADDING THE MODIFIER -55 TO THE USUAL PROCEDURE NUMBER OR BY USE OF THE SEPARATE FIVE DIGIT MODIFIER CODE 09955.
What is the diagnosis code for post op visits?
Code 99024 is used to report postoperative services, beginning with any postoperative care provided on the day of the surgery (after the surgery has been performed) and each visit thereafter, where postoperative care is provided through the end of the assigned global period.
What is a 58 modifier used for?
Modifier 58 is defined as a staged or related procedure performed during the postoperative period of the first procedure by the same physician. A new postoperative period begins when the staged procedure is billed.
Can 99459 be billed with 99024?
If your physician documents pelvic exams appropriately, you can report +99459 alongside one of the following evaluation and management (E/M) codes: Office or other outpatient visit for a new patient: 99202-99205. Office or other outpatient visit for an established patient: 99212-99215. Consultation codes: 99242-99245.
What is a 24 modifier?
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.
What is CPT code 99204 used for?
CPT® code 99204: New patient office or other outpatient visit, 45-59 minutes.
Can I use a 24 and 57 modifier together?
E/M service resulting in initial decision to perform major surgery is furnished during post-operative period of another unrelated procedure, then the E/M service must be billed with both the 24 and 57 modifiers.
What is the 59 modifier used for?
Modifier 59 Distinct Procedural Service indicates that a procedure is separate and distinct from another procedure on the same date of service. Typically, this modifier is applied to a procedure code that is not ordinarily paid separately from the first procedure but should be paid per the specifics of the situation.
When to use modifier 25 vs 57?
APPROPRIATE USE
Modifier 25's instructions specifically indicate that it is not to be used to report an E/M service that resulted in a decision to perform surgery. In such instances, modifier 57, Decision for Surgery, should be appended to the E/M services code.
Can you bill for a post-op visit?
Post-operative visits should be reported with CPT code 99024 when the visit is furnished on the same day as an unrelated E/M service (billed with modifier 24).
What if I need surgery but can't afford my deductible?
In cases like this, we recommend contacting your insurance, surgeon, or hospital and asking if they can help you with a payment plan. Remember that your surgery provider wants to get paid so they may be very willing to work with you on a payment plan.
Does Blue Cross Blue Shield cover past medical bills?
Health insurance policies are designed to cover medical expenses incurred during the period when the policy is active. This means that if you received medical services before your policy's effective date, those expenses are generally not covered.
What are the 5 P's of post-op care?
- Pain.
- Position.
- Potty or personal hygiene.
- Periphery.
- Pump.
What is the most painful day after surgery?
Day 3 After Surgery
The inflammatory response tends peak during this time and can lead to increased pain. Also, by day 3 many patients are trying to wean themselves off of pain medication and pain can escalate. Once pain gets to a certain level, it is very hard to play catch up.
How long is a patient considered post op?
These services can be provided by the surgeon or any physician designated by the surgeon, generally up to 90 days after the date of the surgery (postoperative period. Postoperative services performed in conjunction with minor surgery and endoscopic procedures can be provided in a postoperative period of up to 10 days.