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Thread: Help with CPT Procedure code during PO

  1. #1

    Default Help with CPT Procedure code during PO

    Hi Would someone Please be able to help me code:
    Pt came in for a PO wound check from an Incarcerated
    hernia repair. Pt has an abd.wall abscess which Dr. does
    an I & D. Pt is still in the post op global period and I am just not sure which Modifier to use as this was done in the
    office. 78 is for related but states in the OR/Procedure room. 79 is for unrelated. Thinking I should just go with
    78 TIA
    Deb, CPC

  2. #2
    Join Date
    Apr 2007
    Location
    Kansas City, MO
    Posts
    430

    Default

    Per Medicare minor post-op complications that can be taken care of in the office are not be separately billable.

    CPT's definition of surgery package a lot less strict.

    If you think it is billable...use the -78. It's definitely realted.

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