How would one bill for a cardiology providers hospital visits with sudden decision for surgery 90 day global?
Example-
Visit – DOS 04/19 patient hospital visit admit for congestive heart failure issues and has a pacemaker, 99221
Visit – DOS 04/20 hospital visit no mention of a decision for surgery, ex 99232
Visit –DOS 04/21 hospital visit & pacemaker interrogation decision for surgery explanation patient agrees, this is the first instance of mention for decision for surgery ex 99232-57
Major surgery 90 day global – DOS 04/21 surgery done this date removal & replacement of pacemaker
The DOS 04/20 is hitting an coding edit for day prior to major surgery requiring a modifier 57, but decision for surgery wasn’t made until dos 04/21. Any advice on how to bill these e&m codes for this scenario? Thanks so much in advance.