The National Correct Coding manual has the following description of global surgery XXX (Chapter 13, T-codes):
"Procedures with a global surgery indicator of “XXX” are not covered by these rules. Many of these “XXX” procedures are performed by physicians and have inherent pre-procedure, intra-procedure, and post-procedure work usually performed each time the procedure is completed. This work shall not be reported as a separate E&M code."
Question: Surgeon completes a resection of the prostate, Aquablation Therapy - CPT 0421T. Based on the above CCI manual description for temporary codes, can the surgeon bill an E/M (office visit) for the same patient, same diagnosis for follow up from the procedure? Ex. patient may go home with catheter and return to office next day after surgery for catherter pull. Can the physician bill an E/M? Exactly what does the manual description above mean as to E/M?
"Procedures with a global surgery indicator of “XXX” are not covered by these rules. Many of these “XXX” procedures are performed by physicians and have inherent pre-procedure, intra-procedure, and post-procedure work usually performed each time the procedure is completed. This work shall not be reported as a separate E&M code."
Question: Surgeon completes a resection of the prostate, Aquablation Therapy - CPT 0421T. Based on the above CCI manual description for temporary codes, can the surgeon bill an E/M (office visit) for the same patient, same diagnosis for follow up from the procedure? Ex. patient may go home with catheter and return to office next day after surgery for catherter pull. Can the physician bill an E/M? Exactly what does the manual description above mean as to E/M?