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Post op mgmt only...

  1. #1
    Location
    Greeley, Colorado
    Posts
    2,045
    Question Post op mgmt only...
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    One of my docs did the post op mgmt for a 25605...reported with -55 at the first post op visit... My question is - can he code for casting and supplies at this visit or is that inclusive to the first post op visit with -55? Thanks!
    Lisa Bledsoe, CPC, CPMA

  2. #2
    Location
    Duluth, Minnesota
    Posts
    1,133
    Default
    it's included (just like a global 25605 fracture treatment).
    {that's my opinion on the posted matter}
    Donna, CPC, CPC-H

  3. #3
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    Thanks Donna - I thought so, but needed a second opinion...
    Lisa Bledsoe, CPC, CPMA

  4. #4
    Location
    Milwaukee WI
    Posts
    4,466
    Default Interesting question!
    Okay ... I'm not an expert on this ... just thinking out loud (or typing real fast - LOL)

    If one doctor performed the entire service 25605, the first cast on date of fracture treatment would be included, but the re-casting on the first post-op date would be billable.

    So why wouldn't the casting/supplies be separately billable for the MD who is only providing post-op care?

    I don't have an answer ... just another question to help muddy the waters.

    F Tessa Bartels, CPC

  5. #5
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    I think it's bundled because the casting codes are inclusive to 25605 even with a modifier... the ins didn't pay anyway and it's blue cross, so not much we could do... Thanks Tessa
    Lisa Bledsoe, CPC, CPMA

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