adri3421
Networker
I am trying to figure out if it is appropriate for a surgeon to bill postoperative hospital subsequnt visits in the critical care unit using modifier 24 if the patient experiences respiratory failure or sepsis after a surgery on a medicare patient. These visits do not qualify for the critical care codes 99291/99292 so I would have to bill subsequent 99231-99233 codes w/-24 modifier.
Would these conditions be "related or complications" to the surgery or are these "new conditions" not typically included in the global package?
My providers argue these conditions are not part of "typical" recovery from surgery and should not be included in the surgical global package.
Any thoughts?
Would these conditions be "related or complications" to the surgery or are these "new conditions" not typically included in the global package?
My providers argue these conditions are not part of "typical" recovery from surgery and should not be included in the surgical global package.
Any thoughts?