I am new to this ENT specialty. Several of our physicians do many surgeries and spend significant time doing follow-up in ICU or other post-op follow-up visits….Typically for complications of surgery (i.e. tonsillectomy bleed or CSF sinus leak), other than billing for the complications procedure, such as 42962 with a -78 modifier. Is anyone aware if there is a way to capture the followup inpatient visits, within the global period, especially critical care/ICU care. I have not been able to find any way to capture any charges aside from a procedure they perform, when in the global period. This is a new specialty for me. Thanks.
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Tag Archives: Postop
Second opinion during post-op period
Medicare pt – had knee scope-is in post op period – wants another opinion-same dx as surgery (meniscal tear)-how would you code?
Post-op ER visit
I’m drawing a blank on this, so I hope someone can shine a little light!
If a patient has surgery on one day and two days later goes to the ER for symptoms that turn out to be related to the surgery, and the consulting physician is a member of the same group as the surgeon it still gets coded as a post-op visit, right?
(Dr. A did an ESWL on a patient for kidney stones on a Monday. On Wednesday, the patient had hematuria and pain and went to the ER. Dr. B believes it was because of the ESWL two days prior. So, the consult is coded as a 99024, correct?)
Thanks!
Billing insurance for pre-op and post-op visits for a cash pay surgery
One of my providers posed this question.
A pt has a surgery done and must pay cash (for denial, elective surgery, etc.). Other specialists practices are telling us they are still billing the pt’s insurance for the pre-op and post-op visits. (Even those w/in the global period). He asked if it would be "correct" to bill this way.
I told my provider that I was uncomfortable doing this, because even though the pt paid cash, I feel it is still a global charge and I am also afraid that if we were audited we would get cited for not billing equally to all of our patients.
Thoughts?
76942 with regional anesthesia (not post-op pain block).
When the only anesthesia for a procedure is regional so it is being billed with an ASA code (such as 01810), is 76942 supposed to be billed for the ultrasound guidance? I know 76942 is billed with nerve block codes (644xx) for post-op pain management, but what about with an ASA code? I’ve never run across this until recently and can’t find anything to say if it’s correct or not. It seems like the ultrasound might be included but I can’t find anything that says so.
76942 with regional anesthesia (not post-op pain block).
When the only anesthesia for a procedure is regional so it is being billed with an ASA code (such as 01810), is 76942 supposed to be billed for the ultrasound guidance? I know 76942 is billed with nerve block codes (644xx) for post-op pain management, but what about with an ASA code? I’ve never run across this until recently and can’t find anything to say if it’s correct or not. It seems like the ultrasound might be included but I can’t find anything that says so.
Thanks
Not stating surgery performed in the post-op note
My physician saw a patient in the office for a post op visit. The patient had a major surgery. No where in the post-op note does he state what the surgery was. Is it necessary to state the surgery that was done in the HPI? I thought it was. He describes in the Exam that staples were removed and part of the incision was slightly open with drainage noted.
Post-Op visits when a provider changes practices
We have a provider who performed surgery on a patient while at their previous practice. The provider has left that practice and joined a new practice. He will see the patient during the global period for the surgery. Can the provider bill an E&M visit or would they code as a post-op visit?
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.
99024 Reporting for Post-Op Visits in 2018
In July 2017, the Centers for Medicare & Medicaid Services (CMS) began requiring medical offices with 10 or more practitioners in nine states (Florida, Kentucky, Louisiana, New Jersey, Nevada, North Dakota, Ohio, Oregon, and Rhode Island) to report claims data on post-operative visits furnished during the global period of specified procedures using CPT® 99024 Postoperative […]
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