Regarding appropriate modifier for a TCM within the global surgery period. Claim denied due to document request as well as modifier missing. Services were verified, so now just a question of appropriate modifier. Industry notes I’ve gathered recommend surgical code with appended modifier -55 but TCM are services I need to bill… this is not strictly post op due to surgery but transitional care management related to hospital then rehab discharge and I would like to append modifier -24. Does this make sense? The TCM was for Rehab discharge but still within postop period and patient has other conditions to consider.

Truly appreciate any advisement / thoughts. – Marandee