Author Topic: post-op charges  (Read 1310 times)

JanK

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post-op charges
« on: March 27, 2009, 04:18:59 PM »
I'm wondering how to charge for the following - an established patient came into our office after having a subcutaneous mastectomy done in another state.  She was having problems with her drainage tubes.  Our doctor was able to remedy the problem after considerable effort and normal drainage was restored.  How do I bill for this service?    ???
« Last Edit: March 27, 2009, 04:39:27 PM by JanK »

Michele

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Re: post-op charges
« Reply #1 on: March 30, 2009, 07:58:28 PM »
Since your provider did not perform the surgery, and the patient was not able to return to the surgeon, I would bill it as a regular office visit (or whatever cpt code describes the service).  I believe it should be coded as the surgery cpt with a modifier indicating post op care, but I would bet the surgeon did not bill indicating that he/she did not provide post op care, so it would probably be denied.

Michele
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JanK

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Re: post-op charges
« Reply #2 on: March 31, 2009, 09:51:22 AM »
Thx Michele - that's kinda what I was thinking.

PMRNC

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Re: post-op charges
« Reply #3 on: April 04, 2009, 01:03:05 PM »
YES.. BUT.. if the patient moved, or re-located OR they were on vacation where they could not see the surgeon, the claim can be appealed, in many cases also if the move is permanent you can setup to transfer post-op visits. In any case, you can appeal based on the circumstances.
I had my C-Section in one state but moved 2 hours away from my OBGYN and he just transferred my records to another doctor who did my follow-up.

Linda Walker
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Linda Walker
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