Post op period

[lmwilhoite]

Would I be able to bill a office visit during the post op period with this information:
Her abdomen is soft, nontender, nondistended. Bowel sounds are present. Her midline wound is intact except for the most inferior 2 cm where there is a small amount of thin yellow drainage. Her staples were removed and the inferior portion was opened revealing a small cavity. This was swabbed and sent for culture. The wound was then packed with 1/2" Iodoform tape and covered with a dry gauze.
and

Her abdomen is soft, obese, nontender to palpation. Her midline wound is intact except for a 1 cm opening in the lower aspect. This is lined with clean moist granulation tissue approximately 5 cm in depth.

The wound was packed with 1/4" Iodoform tape and covered with a dry gauze.

 

[EARREYGUE]

I would say no, it sound like a reck. of a post op wound. If your are seeing the patient for something other that the op. you could use modifer 24. other wise you need to bill as 99024