Annette Posted Thu 11th of July, 2019 15:24:00 PM
Provider billed 99214, 20610, J1720. The Medicare patient was in pain so they came back in 8 days instead of 10 for a follow up and to go over lab work. We billed 99214 and it was denied for Pre/post-operative care payment is included in the allowance for the surgery/procedure. Is there a modifier we can use to get that paid? Thanks!
SuperCoder Answered Fri 12th of July, 2019 05:18:34 AM
Hi Annette nbsp Thanks for your question nbsp Follow-up visits during the post-operative period of the surgery that are related to recovery from the surgery and the post-surgical pain management by the surgeon are included in the global surgery payment So this service may not be paid separately nbsp Please...
Annette Posted Tue 16th of July, 2019 09:35:18 AM
Hi - even if it was an "emergency"? The patient couldn't wait the 10 days.
SuperCoder Answered Wed 17th of July, 2019 03:07:04 AM
It does not make any difference even if the patient has returend to the ER for follow-up or complication of the original surgery The E M service may be reported with modifier only if it is unrelated to the surgery nbsp nbsp Moreover if the physician must return to the...