Normally we don't, we have a POV code we use that doesn't get billed to insurance or patient. However I have noticed that in the chance that an office visit does get billed in error, medicare will automatically adjust off as being global but anthem does not. I wondered since we use the V67.00 diagnosis, wouldn't anthem then know that it was a post op visit?
Another thing I wondered was this scenario:
Patient is in post-op period for ankle replacement. Comes in for a POV and dr. does x-rays to check on the recovery progress. Billed it out like this:
DX V67.00, 715.97, 729.5, 782.3
Procedure:
1) POV - does not get billed out
2) 73630 - RT
3) 73630 - LT
Anthem will still put the patient's copay amount to one of the x-rays, so even though we aren't charging an office visit or copay for that date, they are still left with their $20, 30 or 40 copay after it is said and done. Pt. is then upset that they are paying their copay during a global period. Am I billing this incorrectly?