Results 1 to 4 of 4

99238 Coding for discharge after procedure

  1. Default 99238 Coding for discharge after procedure
    Medical Coding Books
    Hello. I am new to hospital coding. Can someone please tell me if we can code a discharge 99238/99239 after a patient had surgery? The confusion seems to be is this considered part of subsequent visit during global or is Discharge exempt from global. I have spent quite a bit of time on line trying to find the answer and have had conflicting answers.

    If we can bill do we need to add a 24 modifier to it if in global?

    Thank you so much!


    Also I would need documentation to support if we can bill. I went to CMS but again could not find my answer there.

  2. #2
    Milwaukee WI
    Default It's global
    Discharge, like all other E/M services, fall into the global period.

    The only time you'd be able to code it is if (God forbid) the patient remained hospitalized and in your care beyond the global period ... but I'm guessing if that happened, the surgeon would transfer care to a hospitalist, so the surgeon wouldn't be doing the discharge in any case.

    F Tessa Bartels, CPC, CPC-E/M

  3. Default
    Thank you! Tammy

  4. #4
    The only other scenario that you can charge a separate E/M within a global period is if the patient is being seen for a separate problem. For example, a patient in a global period for his appendix is then in a car accident and your physician (or another physician in your same group of the same specialty) sees the patient for the injuries related to the MVC. In this case you would bill the appropriate E/M services w/mod 24. This scenario actually happened with two docs in our group.

    Brandy Allen, CPC
    Practice Manager

Similar Threads

  1. 99238 vs 99239 inpatient discharge
    By dsnagy1 in forum Billing/Reimbursement
    Replies: 1
    Last Post: 10-14-2015, 08:59 AM
  2. discharge 99238 & 99239
    By rcbaker in forum Pediatrics
    Replies: 5
    Last Post: 01-28-2014, 07:44 AM
  3. C/S, 59514, with inpt hospital discharge 99238
    By Shawna Paul in forum OB/GYN
    Replies: 2
    Last Post: 08-10-2012, 02:22 PM
  4. discharge code 99238 no exam done
    By doggieluv in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 03-08-2012, 06:42 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.