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Wiki Vad - 33979

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tceesay

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When patient had VAD (intracorporeal) inserted and the follwoing day he has the sternum closed(21750), do you bill the following visits as post-op? 33979 had 0 follow-up days, but 21750 has 90.
 
If the surgeon is following the patient to manage the VAD, you can bill for all those visits but you would have to add modifier -24 to the E/M code. The documentation should support that the surgeon is not doing standard post-op care but is really managing the VAD and the patient's health with regards to the VAD.

In addition to the E/M code, if the provider interrogates the VAD, you can now bill 93750 as well.

Lisi, CPC
eharkler@nmh.org
 
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