Wiki 51736 and 51798 After TURP

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pclaybaugh

pclaybaugh

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Good Morning,
The patient underwent a TURP and is in the global period. The provider is billing a 51736 urine flow measurement and 51798 US Urine capacity during the global period. The documentation states a routine follow up and that the patient is satisfied with voiding pattern and flow.

Would the 51736 and 51798 be inclusive in the global period? The 3 Dx are:
Z48.816 - F/U up after surgery
N40.1 - Benigh prostate hyperplasia
R39.15 - Urgency of urination

There is also an additonal EM with the reason being the urgency of urination.
I am new to urology and would like an opinion. Are these additional procedures included in followup after the original procedure?

Thanks!
 
CMS global surgery guidelines say that diagnostic procedures are not part of the surgical package, and I believe that 51736 and 51798 would fall into this category. Neither of these procedures have a global days assignment and as I read the guidelines they should be allowed. The E&M service may or may not be included depending on documentation. If the provider has documented that the reason for the E&M was a separate problem unrelated to the TURP and not part of the follow-up care for the procedure, then an E&M code with modifier 24 could be supported.
 
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