MedAbbrev, now by innoviHealth, has been the industry standard for medical abbreviations and acronyms since 1983. Quick and easy access for hospitals, providers, coders, transcriptionists, students and researchers to over 75,000 entries. With clear and accurate standardization that is always current, medical professionals can reduce the chance of error stemming from misunderstood abbreviations.
Question: Nine days after a laparoscopic cholecystectomy (90-day global), a third-party insured patient was admitted for bile leak and developed peritonitis. May I charge for a consult for the follow-up and, if so, are any modifiers necessary? Wisconsin Subscriber
Answer: The correct answer depends on whether your payer follows CPT (AMA) or CMS (Medicare) guidelines regarding postoperative complications.For payers following CPT guidelines, you must show that the E/M service (in this case, presumably an inpatient consultation, 99251-99255) that occurs during a previous procedure's global period is -unrelated- to the primary procedure (here, for instance, 47562, Laparoscopy, surgical; cholecystectomy)...
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