Melissa Posted Mon 13th of January, 2020 13:56:41 PM
Hello, Our ENT physician performed endoscopic sinus surgery 31267,31254 and 31256 on a patient and the patient returned for several more post op visits. At each of these visits he wants to bill an E&M (99213) as well as 31237 stating that its not bundled because there are no global days. I know there are zero global days with the FESS , but 99213 is a column 2 code for 31237, so I would think that unless there is a separate reason for the office visit, we would only be able to bill for 31237 at the follow up. Is that correct?
SuperCoder Answered Tue 14th of January, 2020 05:35:55 AM
Thanks for your question.
This is correct that codes 31267 and 31254 do not have a global period. So, it is appropriate to report E/M services for follow up visits only. But if an endoscopy is also performed during the follow up visit, then E/M should not be reported unless there is a separate reason for the office visit. Hence, you are absolutely correct to report only endoscopy.
Please feel free to write if you have any question.