It is my understanding that 99024 is the code to use in either setting. This code is statistical only, as the payment for the service is part of the global package. It does not specify in- vs. outpatient.
I have a question about 99024 inpatient post op.
The procedure was done by surgeon A who did a matectomy and plastic surgeon B who did a breast reconstruct with tiss expander seperate op notes same date and time both physicians see patient next day. Do both physicians get 99024? Would you consider plastics and general surgeons same specialty?
On our BCBS fee schedule 99024 has $51 allowance. We do not even bill it to insurance so i do not know if they would pay. I believe it is illegal to charge for 99024.
The CPT® manual defines 99024 as “Postoperative follow-up visit, normally included in
the surgical package, to indicate that an evaluation and management service was performed during a postoperative period for a reason(s) related to the original procedure.” This code is provided specifically for documenting that the follow-up visits,
which are expected after a procedure, are actually taking place. If you are not filing these no-payment visits, you expose your practice to charges of failing to provide the full level of care bundled into the procedure.