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Thread: Global or not?

  1. #1
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,128

    Default Global or not?

    Patient has had breast reconstruction due to breast CA. The implant has ruptured and she has developed a "sunken" breast. Would you consider the follow up visits for the ruptured implant as global? I'm sitting on the fence on this one....


    Thoughts...

  2. #2
    Join Date
    Apr 2007
    Location
    Dover Seacoast New Hampshire
    Posts
    1,839

    Default

    I wouldn't consider it a part of the global. That's not a typical complication or circumstance (thankfully) of the original surgery...unless the rupture could be linked back to something that was the responsibility of the provider, which is unlikely. Any recalls on that particular implant?

    I would go ahead and bill the E&M; you're also going to also be able to bill any return to the OR...right?
    Pam Brooks, MHA, CPC, PCS, COC
    Coding Manager
    Wentworth-Douglass Hospital
    Dover, NH 03820
    Pam.Brooks@aapcca.org
    AAPCCA Board of Directors (Region 1--ME, NH, VT, MA, RI, CT, NY)

    If you can dream it, you can do it. Walt Disney

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