does anyone know how or if you can get paid for a complication of a procedure? we had a patient who had an excision 6 days ago, so she's still in the 10 day global period, came in today for a nurse visit and has an infection to the excision site. is there a special way to code this to ensure it's paid? does anyone have any tips to getting these paid?
-
If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..
Wiki complications of excision
- Thread starter cmac
- Start date
Treetoad
Expert
Per Medicare guidelines, unless a patient is taken back to the OR, the visit would be considered part of the global period. However, some insurance carriers don't follow Medicare guidelines and would pay for an E&M service with modifier 24. Of course, documentation would need to support the E&M service. You may want to contact the patient's insurance carrier to know for sure how they handle complications.
dmaec
True Blue
yup...Treetoad nailed it exactly !
{that's my opinion on the posted matter}
{that's my opinion on the posted matter}