tci ED Coding & Reimbursement Alert - 2005 Issue 7

Reader Questions: Only Bill for Atypical Post-Op Care

Question: Can we bill for wound checks? The physician performed an I&D one day, and the patient returned two days later for repacking.Idaho Subscriber Answer: According to CPT, typical postoperative care is included as part of the surgical package. So in this case, whether you should bill the wound check separately depends on what your ED typically does for patients on whom the physicians perform incision and drainage (I&D) procedures, and how complicated the initial service was. If the wound check falls outside of typical care for the initial service, it may represent a separate...

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