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Thread: H & P during Post Op Period

  1. #1

    Default H & P during Post Op Period

    AAPC: Back to School
    I have a question..

    Pt had a CABG on January 15, 2009.
    He presents to us today (2/3/09) and a history and Physical is performed.

    He will be having an exploration of the right leg due to the Saphenous Vein Graft.

    How would we code or can we code the H&P?

    And what Modifier would we use?

    What modifier for the Exploration?

    Is any of this considered part of the surgery bundle?

    Thanks for your help!

  2. #2

    Smile post op patient

    Since the patient just had cabg done, assuming that the leg you are checking was part of the cabg, i think the visit should fall under the global this is a post op issue
    if its not related to the previous surgery you probably could use a E&M code with the 24 modifer for a new problem

    the exploration code would have78 or 79 modifer
    and look at cpt codes range 35701-35761 it is based on the veins that are involved. I hope this helps

    Margaret Dodd, CPC

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