wound dehisence, modifier 24, or no?

kc-george

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I have a practitioner who wants to bill an E/M for wound dehisence. (I thought about MOD 24). The patient is still well within the 90 day global, S/P ORIF of the lateral malleolus. I, personally do not feel this appropriate as the patient is having a "wound issue", and that is why they are in the office. I was under the impression, unless returned to OR, post op wound complications were not billable, but I am unsure, and open to corrections. :) Thank very much!!
 

primrose1

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We've always kept that under the global period if it's during a post-op check. Like you said, unless they go to the OR for debridement, global........
 

kc-george

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It is certainly an interesting one; and I could almost argue either point. Thank you.
 
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