tci General Surgery Coding Alert - 2018 Issue 9

Subsequent-Care E/M: Avoid Surgical Conflicts with 99231-99233

Pay attention to global period. If your surgeon performs an inpatient procedure that has a global period other than “0,” you need to limit your use of the subsequent hospital care codes 99231- 99233 (Subsequent hospital care, per day…). Restriction: “You should not use the subsequent hospital care codes for inpatient E/M services related to the surgery on days within the global period,” says Terri Brame Joy, MBA, CPC, COC, CGSC, CPC-I, director of operations with Encounter Telehealth in Omaha, Nebr. That’s because the global fee for the surgical code includes the immediate...

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