tci ED Coding & Reimbursement Alert - 2012 Issue 10

Reader Question: Take a global view when dealing with typical postoperative care

Question: Our ED doctors have patients with abscess I&Ds come back multiple times during the 10 day treatment period. When asked why this was a routine process, the physician said "he wasn't sure the patient would keep it clean and it would heal, so he wanted the ED nursing staff to take care of it." He himself seldom looks at the wound, unless asked to do so by the nurse. According to CMS, this has a 10 day global period. I have not given the professional side any billing. The doctors are disagreeing with this; what would...

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