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Thread: Need help Coding Admission during PO Global

  1. #1

    Default Need help Coding Admission during PO Global

    AAPC: Back to School
    Please help! If a pt. is admitted to the hospital during
    post op global period (Hernia repair) with an abdominal
    abscess. I cannot bill the admit as it is a Post op complication. Correct?
    Deb, CPC TIA
    Last edited by Hopp; 06-22-2010 at 09:15 AM. Reason: POSTOP GLOBAL ADMIT- HELP?

  2. #2
    Join Date
    Apr 2007
    Milwaukee WI

    Default CMS vs other payers

    CMS will not accept ANY E/M service, including readmission, for complications of surgery.

    Other payers, however, do accept the mod 24 for E/M services that are above the usual routine postoperative care - i.e. complications, such as infection.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

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