What is the correct billing modifier for a repeat surgery after post op period?
Thank you in advance
Thank you in advance
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Tag Archives: Period
Global period
Please HELP!!!
I need to know if u have a pt in a global period from a STSG application but the skingraft did not take and we needed to re-debride and applied an Epigraft to the wound in the office this time not the hospital how would you code this? Will I still need to apply modifier 58 and 79 or only one modifier?
I need to know if u have a pt in a global period from a STSG application but the skingraft did not take and we needed to re-debride and applied an Epigraft to the wound in the office this time not the hospital how would you code this? Will I still need to apply modifier 58 and 79 or only one modifier?
Subsequent observation during gloabl period by other physician
Hi all,
I need a little clarification on this situation.
Patient placed in obs for dehydration, stomach pain and undergoes 90 day global procedure by a specialist outside of our group while in observation. Observation was ordered by my physician.. If an outside physician performs surgery during an observation stay, can my physician still bill for their subsequent visits and discharge?
Q6 / Q5 modifier during credential/contract period
I have a provider that wants to use the Q6 modifier to bill for a provider that is currently pending approval of credential/contracting under his own NPI. From what I have read on the Noridian Medicare site and various articles this is not the correct use of modifier Q6 or Q5. Does anyone have experience with this? Any references I can use to explain to the provider?
joint injections during the global period
Question:
can 20610-79 be reported when the doctor performs a joint injection following a surgery if the patient comes for pain after one week or a month out from surgery.
thanks
77001 in a global period
Good afternoon.
Can anyone help with an issue I’m having? Female patient(s) in a global period for a mastectomy and about a month later presents for placement of a chemo-port (36561) with fluoroscopy (77001) to verify placement. The appropriate modifier is being appended to the 36561 and the -26 modifier is appended to 77001. The question is, does the 77001 need to have any modifier other than the -26 or -TC while in the global period? Our EHR/PM program is firing an edit stating a modifier is necessary within the global period and the only acceptable modifiers are 79,58,24,78. I have not been able to locate any information to support using one of these 4 modifiers with the fluoroscopy code.
Thank you in advance.
Josie
TCM eligible during Post Op Period … modifier use
Hello All,
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
Coding DVT post op period?
Good Morning All!
Not too sure if I’m reading this correctly, It’s Friday after all, not sure about coding this. active, chronic? Thoughts?
Deep venous thrombosis of the bilateral lower extremities in the postoperative period following his prostatectomy with
pulmonary emboli as well in 2013. The patient has continued on with Xarelto
Post-Operative Complications in the Global Period
Is the caring for, and treatment of post-operative complications in the global period coded and billable? To answer this question, You first must know who the third-party payer is because different payers have different rules. What’s the Global Issue? Medicare says they will not pay for any care for post-operative complications or exacerbations in the global […]
AAPC Knowledge Center
Billing J Codes During Post-op Period
Hello,
I was wondering if anyone knows if J codes such as J1030 (Depo-Medrol), J3301 (Kenalog), etc are billable during the post-op period.
I know that Medicare does not allow payment of postoperative complications and pain management during the post-op period unless the patient’s go back to the OR table. But let’s say the patient undergoes a RT knee menisectomy and 2 weeks later the patient comes back for follow-up visit reporting RT knee pain, the provider gives an injection of Kenalog. Should I bill 99024 in addition to J3301?
Currently Medicare states the following as being included under the "Components of Global Surgical Package":
* Post surgical pain management – by the surgeon
* Supplies – Except for those identified as exclusions
There is no list of supplies identified as "exclusions" available on CMS manuals. Will drugs injected for pain management be separately billable?
Can anyone provide an official guideline on this? From any MAC carrier. I need to be able to provide supportive documentation to my physician. In my mind J codes are billable during post-op period when related to a complication.
Thank you.