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nasa packing removal

Barbara Posted Tue 24th of September, 2013 09:52:12 AM

DR did removal of nasal packs (pt had the put in hospital by a dif Dr.) pt came in to see our Dr for removal and we also did 31238. Is there a code for the nasal pack removal? Its not a FB, so I am unsure

thank you

SuperCoder Answered Wed 25th of September, 2013 00:17:22 AM

If this service involves the removal of the nasal packing placed by the same physician during the performance of a treatment of a nasal bone fracture, the removal of the nasal packing is part of the 90-day global services. This means the removal is part of the initial service, and follows the same principle as a suture removal: if the same doctor placed the sutures, he cannot bill for the removal. Thus, if the doctor put in the nasal packing, he cannot bill for the removal.

Barbara Posted Wed 25th of September, 2013 12:02:24 PM

the packing was put in by the ER dr. Pt came to us as new pt for the removal

SuperCoder Answered Wed 25th of September, 2013 16:20:01 PM

If they reported the 31238 (Nasal/sinus endoscopy, surgical; with control of nasal hemorrhage), I that would certainly include the removal of previous packing. In the scenario where a patient comes in for follow up on a global code and you did not perform the original service, and E/M code is usually the best way to report that service.

Barbara Posted Wed 09th of October, 2013 15:42:44 PM

thank you

SuperCoder Answered Wed 09th of October, 2013 16:47:03 PM

You are always welcome!

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