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bladder irrigation post op

garcia06

Networker
Messages
60
Best answers
0
need some clarification for a medicare patient who had a prostatectomy cpt code 52601 and few day later was seen for the bladder irrigation cpt 51700.
Can this be billed with modifier 58.

thank you
 

OCD_coder

True Blue
Messages
937
Location
Nashville AAPC Chapter
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0
All care in the recovery period is inclusive to the global package per Medicare guidelines this includes routine care and complications unless the patient goes to the OR:
- All additional medical or surgical services required of the surgeon during the post-operative period of the surgery because of complications, which do not require additional trips to the operating room;
- Follow-up visits during the post-operative period of the surgery that are related to recovery from the surgery;
- Post-surgical pain management by the surgeon

Source #1, page 3:
http://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/downloads/GloballSurgery-ICN907166.pdf

Source #2:
Coding with Modifiers: CPT, Medicare, and the Real World
Presented by: Timothy Seth Canterbury, CPC, CPC-I
Date: AAPC On Demand Webinar 9/11/2013
 
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