tci Part B Insider - 2003 Issue 6

CODING: Surgically Remove Surgery From Aftercare Claims

Rehab practices may have welcomed the 30 new ICD-9 codes for postsurgical conditions introduced recently. But questions remain about how to bill them appropriately."One of our rehab patients is a diabetic who lives far away from her orthopedic surgeon," says Tammy Roesner, billing assistant at Forman Rehab in Illinois. "Because our physiatrist is her rehab physician and saw her in the hospital following her great toe amputation, he took over her aftercare so she wouldn't have to drive into the city to see the surgeon. We weren't sure whether to report the diagnosis code for the diabetes...

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