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E/M status post laparoscopic appendectomy

Leah Posted Tue 03rd of February, 2015 15:32:13 PM

Hello,

A patient had a lap appendectomy, and within 10 days presented to the hospital and had to be admitted. She developed a pelvic abscess, and became septic.
Should this patient be charged for her hospital consults and subsequent hospital care from the practice that performed the surgery? If it is within such a short time frame, especially on a surgery that has a 90 day global period, I feel it should be considered part of the global package and not chargeable (unless they had to do any diagnostic testing or take her back to the OR). Would it matter if the appendix had perforated before removal?

I do understand that any entity outside the practice that performed her surgery can bill for their services. I am new to general surgery coding, so I want to be sure I understand WHY/WHY not the surgeon's visits SHOULD/SHOULD NOT be billed.

Thank you,
Leah
CPC, CUC

SuperCoder Answered Wed 04th of February, 2015 03:09:08 AM

You should not report E/M service separately in post operative period. The global surgical package includes, complications following a procedure, including all additional medical and/or surgical services required of the physician (not resulting in a return trip to the operating room) that occur within the designated Global Period.

Thanks !!

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