need help!

charonate

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Patient had a procedure for prostate ca which has a 90 day global period, he was then re-admitted because of complications, can I bill initial hospital care? if so, what modifier can I use?
 

jangely

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If the surgeon readmits the patient during the global period of the original surgery for the same problem that prompted the original surgery, you cannot charge for the readmission or hospital visits.

If, however, the patient's condition requires a trip o the operating room, you may report the procedure performed and append modifier -78 (Return to the operating room for a related procedure during the postoperative period).
 
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