If it is a Medicare patient, no. However, I would attempt using modifier 24 with non-medicare patients. CPT global guidelines vary a little from Medicares.
CPT's Surgical Package
According to CPT, the surgical package includes the following:
-The surgical procedure;
-Local infiltration, metacarpal/ metatarsal/digital block or topical anesthesia;
-One related evaluation and management (E/M) encounter (including history and physical) that occurs after the decision for surgery has been made and is either on the date immediately prior to the procedure or on the actual date of the procedure;
-Immediate postoperative care, including dictating operative notes and talking with the family and other physicians; Writing orders;
-Evaluating the patient in the postanesthesia recovery area;
-Typical postoperative follow-up care.
Medicare's View
-Preoperative visits after the decision is made to operate beginning with the day before the day of surgery for major procedures and the day of surgery for minor procedures;
-Intraoperative services that are a usual and necessary part of a surgical procedure;
-All additional medical or surgical services required of the physician during the postoperative period of the surgery because of complications not requiring additional trips to the operating room;
-Follow-up visits during the postoperative period of the surgery that are related to recovery from the surgery;
-Postsurgical pain management;
-Certain supplies;
-Miscellaneous services (e.g., dressing changes; local incision care; removal of operative packs; removal of cutaneous sutures and staples, lines, wires, tubes, drains, casts and splints; insertion, irrigation and removal of urinary catheters, routine peripheral intravenous lines, nasogastric and rectal tubes; and changes and removal of tracheostomy tubes).
