Part B Coding Coach: 2 Questions To Ask Yourself When Reporting Postoperative Infections

Why This Topic Matters

Postoperative infection claims can be handled differently depending on the payer, so understanding the article helps avoid missed reimbursement and inconsistent claim handling. It is especially relevant for staff who code global-period services and related evaluation and management encounters.

Article Sections

1. Question 1: Who's the Payer?

   Explains why payer type matters when reporting services related to postoperative infections and discusses the general distinction between Medicare and payers that follow CPT guidance.

2. Question 2: Which Modifier Do I Need?

   Reviews the modifier considerations associated with postoperative infection care and the difference between operating-room treatment and office-based services.

3. The Following 3 Examples Show You What To Do

   Presents several billing scenarios involving postoperative infection care to show how the article’s general guidance applies across different settings.

4. Don't Forget the Diagnosis:

   Notes the need to link an appropriate diagnosis with reported services related to postoperative infection care.

5. Don't Expect Total Reimbursement With -78

   Summarizes general reimbursement considerations when the operative return modifier is used and notes its effect on the global period.