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Wiki post-op endoscopy

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AnneCline

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Monclova, OH
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Pt has sinus surgery along with septoplasy which has 90 day global. First office visit after surgery Dr does debridement. I can bill 31237. Second visit a week later Dr does not do the debridement but does do the endoscopy. Can I bill the 31231?
 
Yes you can as long as you make sure that you use a sinus dx code which does not correpond to the septoplasty since there is no global for sinus procedures but there is for the septum.
 
Be sure to append a -79 modifier to the 31231. If you don't the insurance will deny it regardless of the dx since it is in the global. I always have to send the notes when my ENT does this as well. :)
 
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