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Post-op aspiration

primrose1

Guru
Messages
120
Location
Albion, NY
Best answers
0
I'd just like confirmation from others on this as there's a debate in my office. I say if a patient comes in post-op from a knee scope with effusion and it's aspirated, that falls under the catagory of being included in the surgery and no charges to the insurance company if it's under the global period and it's related to the surgical procedure. Others think that we can still charge for the aspiration.

Any input is greatly appreciated!!!
 

raidaste

Guru
Messages
123
Location
Chanute, KS
Best answers
0
I wouldn't use 58 either. I'd say that it's part of the global package. I found on my Medicaid website a statement from their Coding Modifiers Table that states the following for modifier 58 "Complications from surgery which do not require a return trip to the operating room are considered part of the global surgery package from the original surgery and are not payalbe separately"
So for this I would charge anything. Just my thoughts, though.
Hope this helps.
 
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