Wiki 31237 in post op from FESS??

kbur1013

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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.
 
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