Results 1 to 6 of 6

Subsequent day's following surgery ?

  1. #1
    Default Subsequent day's following surgery ?
    Medical Coding Books
    I do the billing for surgery inpatient. Most of the time they are in 90 global and the day's following surgery are bundled. I understand if they have complication's or a new problem i can bill these days. I have a patient who had surgery on say 2-26 and that night developed a 103.00 fever. The doctor did not make his rounds and dictate till 2-27. In his note he put
    " POD #1 pt developed 103.00 fever last night, was given tylenol, fever is stable. No other complaints"

    Can i still code this as fever even though he doesn't state the patient still has a fever ? Wouldn't this be a complication of surgery ? Dx 780.62 ?

  2. #2
    Thumbs up
    That is what I would do. I do inpatients as well.

  3. #3
    Default
    Quote Originally Posted by LeslieTibbetts View Post
    That is what I would do. I do inpatients as well.
    Thanks !!

    So would i bill all the day's he stated patient had fever or night ?

  4. #4
    Location
    Seacoast- Dover New Hampshire
    Posts
    609
    Default
    So, you consider a post op fever not in the global time frame?
    Karen Barron, CPC
    Hampton New Hampshire Chapter

  5. #5
    Default
    Interesting, but based on the note you posted he wasn't involved with the treatment of the fever anyway. It took place before he even rounded.

    I think it would be part of the global period as well.

    Laura, CPC

  6. #6
    Default
    Quote Originally Posted by katmryn78 View Post
    Interesting, but based on the note you posted he wasn't involved with the treatment of the fever anyway. It took place before he even rounded.

    I think it would be part of the global period as well.

    Laura, CPC
    Correct. He didn't have any involment of the fever. The nurse gave tylenol at night and he made his round's the next morning. By that time the fever was either gone or stable. Sometime's patients will spike a 103 but won't be able to stabilize it and end's up being a post op infection. Which i bill the days starting with the fever, if still present. But if the patient's fever went down before he made his round's then i usually don't bill it due to global. Since the patient didn't have fever at the time the physician examined him/her.

Similar Threads

  1. ECMO subsequent day 33961
    By mush69 in forum Cardiovascular Thoracic
    Replies: 0
    Last Post: 02-25-2014, 09:45 AM
  2. Replies: 0
    Last Post: 04-02-2013, 02:18 PM
  3. C-section/subsequent same day?
    By roman2483 in forum OB/GYN
    Replies: 1
    Last Post: 03-29-2012, 06:35 PM
  4. Replies: 1
    Last Post: 10-20-2011, 10:46 PM
  5. Replies: 0
    Last Post: 02-03-2010, 03:58 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?

Login

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.