I agree with you on this one, it doesn't sit well with me either. I have a question into Medicare based on a statement in one of their policies.
"30.6.6 - Payment for Evaluation and Management Services Provided During Global Period of Surgery
(Rev.954, Issued: 05-19-06, Effective: 06-01-06, Implementation: 08-20-06)
A. CPT Modifier “-24” - Unrelated Evaluation and Management Service by Same Physician During Postoperative Period
Carriers pay for an evaluation and management service other than inpatient hospital care before discharge from the hospital following surgery (CPT codes 99221-99238) if it was provided during the postoperative period of a surgical procedure, furnished by the same physician who performed the procedure, billed with CPT modifier “-24,” and accompanied by documentation that supports that the service is not related to the postoperative care of the procedure. They do not pay for inpatient hospital care that is furnished during the hospital stay in which the surgery occurred unless the doctor is also treating another medical condition that is unrelated to the surgery. All care provided during the inpatient stay in which the surgery occurred is compensated through the global surgical payment."
The last sentence is what makes me question whether those subsequent days are correct. It states all care during the the inpatient stay, not just after the surgery. Maybe someone else will have more info to add...
Laura, CPC