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Wiki Billing an office procedure during a 90 day global

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elokin32

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If I have a physician that did a 90 day global procedure in the office (skin graft, nasal polyp) and patient returns for a debridement because the graft failed, and another patient had endoscopic debridement crusts; is it appropriate to report the follow up procedures for Medicare? Any advice would be much appreciated!

Thank you!
 
I would use a 78 modifier - Unplanned return to the Operating room or Procedure room by the same physician, following initial procedure, for a related procedure, during the post op period
 
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