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Wiki Charging 99221 in global

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sblacke68

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Jackson, MI
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Hi,

I'll jump right in: a patient had a LT below-knee amputation, and within the 90 day global for that procedure there was a return to the operating room for a LT above-knee amputation (due to ischemia). The second procedure should be billed -78, correct? And can an initial hospital visit (99221) be charged for the second procedure if it was a decision for surgery, -57? Payer is rejecting the 99221.
 
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