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post-op period for surgery

  1. #1
    Default post-op period for surgery
    Medical Coding Books
    When there are 2 surgeries in a 2 week period, does the 90 day post-op period start after the 2nd surgery or go back to the first one?
    Thanks
    Susan

  2. #2
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    Default
    The 90 global starts at the 1st one and ends 90 days after the 2nd one.

  3. Default
    It would differ depending on modifier used on the 2nd px (if the 2nd px is related or not)

    modifier “-58” to the staged procedure. A new postoperative period begins when the next procedure in the series
    is billed

    Modifier 79: A new postoperative period begins when the unrelated procedure is billed.

    Modifier 78: no new post operative period begins, postoperative period starts the date of the first procedure.

    http://www.cms.hhs.gov/manuals/downloads/clm104c12.pdf
    pg 76-77

  4. #4
    Default
    Thank you both!

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