tci General Surgery Coding Alert - 2002 Issue 11

You Be the Coder: Aspiration During Global Period

Test your coding knowledge. Determine how you would code this situation before looking at the box below for the answer.   Question: After mastectomy, there is sometimes a build up of fluid that needs to be removed, sometimes for weeks afterward, via aspiration. Is this included in the global period of the mastectomy, or can we bill aspiration separately with modifier -58? Michigan Subscriber         Answer: The answer depends primarily on your payer. For Medicare, postoperative complications that do not require a return to the operating room (OR) are included in the global period of the...

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