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Wiki global period for Daig Lap

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mcwhirter

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Phy performed a Lap Tubal Ligation, with excision L ovarian cyst and fulguration of Endometriosis rt pelvic sidewall of cul-de-sac on 7/29/09. Pt then returned to office c/o acute LLQ pain. US showed large L adnexal mass. Phy performed Diag Lap, L S&O, Excision Rt ovarian cyst, fulguration of recurrent endometriosis with lysis adhesions L pelvic sidewall on 9/25/09. Ins reversed payment due to time frame. How should I rebill this?
 
I would suggest rebilling dos 9/25/09 services with modifier-78 (unplanned return to OR during global period for related procedure).

Jen
 
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