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#1
04-23-2012, 12:46 PM
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Global or not?
Patient has had breast reconstruction due to breast CA. The implant has ruptured and she has developed a "sunken" breast. Would you consider the follow up visits for the ruptured implant as global? I'm sitting on the fence on this one....
Thoughts...
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Rebecca CPC, CPMA, CEMC Your click COUNTS... http://www.thebreastcancersite.com/c...faces?siteId=2 CLICK to give FREE mammograms! 
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#2
04-24-2012, 04:46 AM
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I wouldn't consider it a part of the global. That's not a typical complication or circumstance (thankfully) of the original surgery...unless the rupture could be linked back to something that was the responsibility of the provider, which is unlikely. Any recalls on that particular implant?
I would go ahead and bill the E&M; you're also going to also be able to bill any return to the OR...right?
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Pam Brooks, CPC, CPC-H Coding Manager Wentworth-Douglass Hospital Dover, NH 03820 Region 1 AAPCCA Board of Directors (ME, NH, VT, MA, RI, CT, NY) Seacoast Dover, NH AAPC Chapter
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