To me, even though the dr was called for 'consult' - I wouldn't consider it 'truly' a consult. Your doctor was managing the wound from the start and he was called in, probably for that reason <given that he saw the patient twice> This is much rather a referral, since your doc was assuming the care of the problem he was already managing. Which means that if inpatient, your docs services would be categorized as subsequent care. But even so, consult or subsequent care, I agree that it would be more than likely denied for global. Now if your patient's wound got infected or something that required the admission, that's a little different, and you have more of a fight to get it paid. Don't forget you'd probably also have to use modifier 24.
Now, if this truly was a 'referral' <for the reasons mentioned above> and subsequent care codes would be used, I would code out 99024, post op visit.
However, I agree with Tessa, I always fight for consults... if the documentation supports a consult all the way... I'd at least try to get it pushed through and paid, it's always worth a shot, but don't hold high hopes!!
Oh, I noticed can "both consults" be billed - No, only one E/M per day. You'd have to combine the visits together and bill only one code... That is, if you decide it's billable.
