tci Medicare Compliance & Reimbursement - 2018 Issue 12

Reader Question: Check MAC Rules for Non-Reimbursable Postoperative Visit Submissions

Question: For a postoperative, related evaluation and management (E/M) visit within the global surgery period, should I still submit the claim to the payer despite the inevitable denial? Or is it common practice to code the claim and then immediately write it off? Georgia Subscriber Answer: In the case of postoperative E/M visits, you should review your practice’s guidelines as to whether or not it typically bills for (related) postoperative claims within the global period. Whether or not you end up submitting to the payer, you should use code 99024 (Postoperative follow-up visit, normally included in the surgical...

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