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Wiki Ortho to Hosp Admit

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bmcampbell

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B][/B]I need some help with an e/m situation.
I have a doctor here in our Ortho practice that saw a patient on one day (lets say Monday) and admitted her that day to the hospital. He is also the operating surgeon and saw the patient the next day (lets say Tuesday) in the hospital and then preformed surgery that same day. How would I bill for the services on Monday and then am I allowed to bill for the initial hospital care on Tuesday along with the surgery or is the initial hospital care billed by the hospital and/or inclusive to the surgery. Can someone please help me understand everything that I can bill for in this situation? Thank you!:confused:
 
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Assuming this is a major surgery with 90 day global.
Visit in office on Monday would be billed with the appropriate E&M with modifier -57 decision for surgery.
The E&M at the hospital Tuesday just prior to the surgery that was already decided on Monday is part of the global package.
 
The Tuesday morning visit would be considered PRE-OP and billed as such 99214-P with Dx of Z01.818

Peace
@_*
 
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