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Bundling, global periods, and multiple surgeries

  1. #1
    Madison Area Chapter in Madison WI
    Default Bundling, global periods, and multiple surgeries
    Medical Coding Books
    Here is a situation we recently come across and I am looking for some feedback.

    A septoplasty and ethmoid resection were performed during the same op session. Two weeks later, a debridement was performed in the office.
    A debridement is bundled with the septoplasty during the global period.
    However, the ethmoid resection doesn't have a global period.

    The documentation states the debridement was related to the ethmoid procedure. Would the debridement be reimbursed by Medicare?
    Happy Coding, Claudia

    Claudia Yoakum-Watson, CPC
    Coding, Compliance, & Reimbursement Solutions
    [email] - website

  2. #2
    Stuart Sailfish Chapter
    Yes the debridment would be reimbursed by medicare. it would be coded as such

    31237 -79 -50 ( if its a bilateral debridement)

    Diagnosis would be 473.2
    Candice Fenildo, CPC, CPMA, CPC-I, CPB, CENTC, CRHC, AAPC Fellow
    Director of Operations
    Ear, Nose and Throat Associates of South Florida, PA

    "Nothing is stronger than the heart of a volunteer"

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