Page 1 of 2 12 LastLast
Results 1 to 10 of 11

Thread: Post-op visit vs office visit

  1. #1

    Default Post-op visit vs office visit

    Hi to all,
    just like to ask everyone if a patient has a previous operation and came back for a follow-up visit for the same condition, but already beyond the its global period and the patient is doing well with minor problem not that significant but somehow related to the previous problem, would you code it as a post-op visit (because the patient made the visit related to his problem) or a regular office visit (because it was already pass its global period)? anybody can comment & advice, really need help on this,a bit confuse , do appreciate the help.

    Breif History:
    The patient has cruciate & meniscal injury and done arthroscopy to his knee, after a few follow-up visits & rehabilitation Patient is doing well with minor problem of having slight pain 1/10 on descending stairs which rehab was taking care of it conservatively. Now made a follow-up visit to his Doctor 15 dys pass the global period of his surgery.

    Thanks,

    Bhong

  2. #2

    Default

    I would imagine if it's past the global period, it would be a regular office visit. Thats just my two cents.
    Marci A. Giardina, CPC

  3. #3

    Thumbs up post-op visit vs office visit

    Hi Marci,
    Thank you for that uplifting response, i can explain that to my doctor, and a follow up question for that, what if the documentation say's that it is a post Op visit, does it matter?

    Thanks,
    Bhong

  4. #4
    Join Date
    Apr 2007
    Location
    Modesto California
    Posts
    70

    Smile

    Should be ok if after the global even for related or same condition.

  5. #5
    Join Date
    Apr 2007
    Location
    Modesto California
    Posts
    70

    Smile

    Regular office visit and I would code the appropriate dx. code 719.46 for knee pain.

  6. #6

    Default post-op visit vs office visit

    yes gherimichele that's what i had in mind, to code the knee pain just to be sure & a status post code.

    Thanks again, hope to hear from you guys in my future queries.

    Bhong

  7. #7
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,453

    Default Well ...

    Well, I would look at how far PAST the global period the visit occured ... a couple of days? a week? 3 months?

    If the previous visit asked for one more follow-up visit, but due to other circumstances, he couldn't schedule that final post-op visit until past the global period, (let's say patient was on vacation) I would still count it as part of the global surgical package.

    Seems that the surgeon was looking at it this way by indicating "post-op visit."

    Technically you could get away with coding it as an office visit, but doesn't sound as if that is what the surgeon intended.

    Just my opinion.

    F Tessa Bartels, CPC, CEMC
    Last edited by FTessaBartels; 03-26-2010 at 03:42 PM.

  8. #8
    Join Date
    Apr 2007
    Location
    Atlanta
    Posts
    335

    Default

    I would bill regular office visit. My doctor often puts Dx V58.78 (post op) even though patient is not post op any more.

  9. #9

    Default

    I agree if it is past the global period code it as an office visit- unless it is just a couple days out and the dr. says not to bill pt. There are some risks to billing 99024 out side the global period- http://www.aaos.org/news/aaosnow/jul09/managing8.asp

  10. #10

    Smile

    Quote Originally Posted by bhong View Post
    Hi to all,
    just like to ask everyone if a patient has a previous operation and came back for a follow-up visit for the same condition, but already beyond the its global period and the patient is doing well with minor problem not that significant but somehow related to the previous problem, would you code it as a post-op visit (because the patient made the visit related to his problem) or a regular office visit (because it was already pass its global period)? anybody can comment & advice, really need help on this,a bit confuse , do appreciate the help.

    Breif History:
    The patient has cruciate & meniscal injury and done arthroscopy to his knee, after a few follow-up visits & rehabilitation Patient is doing well with minor problem of having slight pain 1/10 on descending stairs which rehab was taking care of it conservatively. Now made a follow-up visit to his Doctor 15 dys pass the global period of his surgery.

    Thanks,

    Bhong
    I understand your frustration, if the visit is past the global surgical period you can bill for an office visit (established) if examination and findings were rendered.

Page 1 of 2 12 LastLast

Similar Threads

  1. Office visit/post op/new injury
    By DBARON in forum Orthopaedics
    Replies: 1
    Last Post: 09-18-2015, 09:32 AM
  2. Post-hospital office visit
    By JudithHines in forum E/M
    Replies: 7
    Last Post: 08-10-2014, 07:58 AM
  3. Follow up office visit post colonoscopy
    By joyce in forum Gastroenterology
    Replies: 7
    Last Post: 02-13-2014, 07:01 PM
  4. office visit and pacemaker check 14 days post op.
    By blondie12 in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 05-28-2013, 01:56 PM
  5. Post-OP Visit and Office visit, Same Day
    By blake94 in forum Orthopaedics
    Replies: 2
    Last Post: 04-07-2009, 07:33 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
  •