Wiki Subsequent Hospital Visits

[MBA101]

I am unclear on when to bill for subsequent hospital visits.

If my doctor does surgery as in patient procedure and the procedure has a 10 or 90 day global can you bill for the days the patient is in the hospital and the doctor makes the rounds on this patient? Also this would not be a Medicare patient. I understand Medicare wouldn't pay for this its included in the surgical package.

If I can't bill these visits in the above scenario when can I bill for these types of visits?

Any help would be appreciated.

Thank You
Melanie

 

[yvette31]

The first question I have is the patient being seen for a different reason than the surgery? If your answer is no than it would be part of the global. If the patient is being seen for a new problem unrelated to the procedure than you can append a modifier 24 to the subsequent visit. Medicare has a reference you can look up.

30.6.6 Payment for E/M services provided during global period.

Hope this helps.
yvette