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Vad - 33979

  1. Default Vad - 33979
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    When patient had VAD (intracorporeal) inserted and the follwoing day he has the sternum closed(21750), do you bill the following visits as post-op? 33979 had 0 follow-up days, but 21750 has 90.

  2. Default
    If the surgeon is following the patient to manage the VAD, you can bill for all those visits but you would have to add modifier -24 to the E/M code. The documentation should support that the surgeon is not doing standard post-op care but is really managing the VAD and the patient's health with regards to the VAD.

    In addition to the E/M code, if the provider interrogates the VAD, you can now bill 93750 as well.

    Lisi, CPC

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