tci General Surgery Coding Alert - 2014 Issue 4

Reader Question: See When E/M Charge Follows Surgery

Question:  When our surgeon places a peritoneal dialysis catheter in an open procedure, he always schedules a follow-up office visit to evaluate the wound. Can we charge for this visit, or is it part of the global surgical package? If we charge for it, do we need to use modifier 24? Texas Subscriber Answer:  The procedure you describe is 49421 (Insertion of tunneled intraperitoneal catheter for dialysis, open). Because the procedure has zero global days, the follow-up visit is not part of a global surgical package.  That means you can charge an office visit code for...

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