AAPC - Back to school
Results 1 to 3 of 3

Thread: Post-op versus subsequent visit

  1. #1

    Default Post-op versus subsequent visit

    AAPC: Back to School
    I bill for a general surgery group and there recently has been some question as to what complications would warrant a subsequent visit as opposed to a post-op visit. I have provided the practictioners with the guidelines but still they have questions. Please review the following clinical scenario.

    Patient comes in for a laparoscopic cholesystecotomy. After being released to the med/surg floor the patient develops a bile leak, which ultimately requires stent placement by the GI group.

    The question is would surgical visits following the bile leak be considered post-op or can they be billed as a subsequent visit? My gut feeling this is post-op since a bile leak is probably a common complication of a lap choly.

    Please help.

  2. #2
    Join Date
    Apr 2007


    certainly this is a post-op visit.

    As a surgeon, I could count on two hands the number of patients per year that I see in the global period who aren't there for something related to their procedure (i.e. a 24 modifier is used on the E&M)

  3. #3

    Default Follow up question

    If a patient is in the hospital for an extensive stay that requires 3 surgeries, how would I know if subsequent visit would be billable? All three surgeries have 90 days post op period, so my first thought is no, but am unsure with this very complex case. The length of stay is from 7/30/13 through 10/9/13 in the acute care portion of the hospital, and beginning on 10/9/13 he is in rehab. What would I look for to warrant billing for subsequent visits during this time?

Similar Threads

  1. Postoperative bile leak - post op or subsequent visit?
    By rkindlund in forum General Surgery
    Replies: 1
    Last Post: 03-02-2015, 02:27 PM
  2. subsequent visit
    By Lynda Wetter in forum Medicare Regulations
    Replies: 2
    Last Post: 12-03-2014, 12:59 PM
  3. subsequent visit help!!
    By asasands in forum E/M
    Replies: 4
    Last Post: 01-28-2014, 12:57 PM
  4. intial visit versus subsequent visit for IP
    By coder1 in forum Medicare Regulations
    Replies: 3
    Last Post: 03-06-2010, 06:34 AM
  5. Subsequent Visit
    By TiffanyParks in forum E/M
    Replies: 2
    Last Post: 01-15-2010, 01:48 PM

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.