AAPC - Back to school
Results 1 to 3 of 3

Thread: Hospital admission in post op period due to infection

  1. #1

    Default Hospital admission in post op period due to infection

    AAPC: Back to School
    Can you bill the E/M in the post-op period for an admission to the hospital due to a post-operative cellulitis due to noncompliance? We have a patient who is status post ORIF ankle who did not keep his initial post-operative visit, and allowed his wound to get and stay wet causing the severe cellulitis. He was admitted for IV antibiotics. Is this billable and do I use the 24? Seems inappropriate when it is not really "unrelated".

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default 24 modifier

    We would use the -24 modifier in a case like this because this is not considered routine postoperative care.

    However, Medicare (and some commercial carriers who are now following Medicare's lead) will not pay for any E/M service in the postoperative period - only for procedureing requiring a return to the OR.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3


    In this situation I would try it w/ a 24. I would make sure the documentation is specific that this is becasuse of the pt's noncompliance.
    adrianne, cpc

Similar Threads

  1. Replies: 1
    Last Post: 01-13-2012, 01:08 PM
  2. revision of total hip due to infection
    By rgrimes in forum Orthopaedics
    Replies: 0
    Last Post: 04-06-2010, 02:15 PM
  3. Replies: 4
    Last Post: 01-27-2010, 03:04 PM
  4. Mesh reimplantation due to infection
    By cauer in forum General Surgery
    Replies: 0
    Last Post: 01-12-2010, 10:35 AM
  5. Documented "Admission" Done on Day After Hospital-Billed Admission
    By Belinda Frisch in forum Medicare Regulations
    Replies: 8
    Last Post: 05-04-2009, 07:52 AM

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.