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VAD Delayed Chest Closure Global

Date: May 26, 2021

Question:

Sometimes our providers insert a VAD, which has no global period, but then delay chest closure, which does have a 90-day global period. When they come back to see the patient the follow-up is focused on the VAD and reason for the VAD and not the chest closure itself. Is it appropriate to append modifier -24 to the E&M in this situation?

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