DecisionHealth, DecisionHealth - 2011 Issue 12 (December)

Understanding E/M: Is that post-op visit really unrelated?

Scenario: Ten days after billing for chest surgery with a diagnosis code of 162.2 (malignant neoplasm of trachea, bronchus and lung; main bronchus), the same surgeon bills for an office visit with an ICD-9 code of 486 (pneumonia, organism unspecified).

Should the surgeon report this as a separately payable visit for an unrelated diagnosis during the 90-day global period? 

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