tci Part B Insider - 2012 Issue 36

Reader Question: Avoid +69990 for Routine Follow-ups

Question: A surgeon in our group practice wants to report 92504 every time he looks into the patient's ear during the postoperative period, even if the patient does not have a new or different problem. In other words, he wants to report the binocular microscope for routine post-op follow-ups. Is this correct?Answer: You should not report 92504 (Binocular microscopy [separate diagnostic procedure]) for routine post-op care. If the doctor is simply checking the ear during the global period of a previous procedure, use of the microscope is bundled to the primary procedure. The physician is using the operating...

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