Wiki Surgery and Post Op

[EM74]

I am hoping someone can help me. We have a new Ophthalmologist in our practice and he asked me a coding question that I am not sure of the answer.

What should he bill for a Post Op on a surgery done elsewhere? Normally, I know 99024 but in this case he would be doing the initial visits in our clinics (FQHC), surgery through a different and unrelated facility (standard hospital), and post op visits in our clinics (FQHC). Same provider through 2 different practices, on our patients. As an unrelated medical facility, I wouldn't think we would be considered part of the surgical package but it is the same doctor.

Any suggestions?

 

[jkyles]

Hi there, the surgeon's payment for their post op visit is included in the surgery payment. Here's a helpful guide from CMS https://selectcoder.decisionhealth.com/MVC/CPT/Details/98960

 

[csperoni]

I agree with @jkyles . The ophthalmologist was already paid for the postop work when billing the surgery.
I am not familiar with FQHC billing, but I believe the FACILITY might be able to still submit a bill.