• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

31237 in post op from FESS??

K

kbur1013

New
Messages
1
Can CPT 31237 be billed within the post-operative period of a FESS? For example if the codes billed for the surgery are 31255, 31267, 30140 & 30520. 31255, 31267 & 30520 have zero day global and 30520 has a 90 day global.

At a one month follow up appointment the provider performs the 31237, is this billable with a modifier or included in the surgery?

I'm finding conflicting information.

Thanks!
 
31237 in post op from fess

You definitely should bill the 31237 for any debridements the physician may do because of the FESS. Unfortunately, I am finding that BCBS is only wanting to pay for one when my physician usually does 2-3 postoperatively. The 30520 is the only code with a 90 day global so you would attach a 79 modifier to the code. I would also suggest precerting it when you precert the actual surgery.
 
You must log in or register to reply here.
Top