tci General Surgery Coding Alert - 1999 Issue 4

Case Study: Optimize Reimbursement When Assistant Surgeon Takes Over Management of Patient

"Global periods for major procedures apply only to the surgeon who performed the initial surgery, not to other surgeons who may have assisted with the procedure. In the following case study, a general surgeon who assisted with a radical cystectomy and a right nephrectomy nine days earlier has taken over care of the patient, who needs to return to the operating room. Since the assistant surgeon then is the main surgeon, billing for the new procedure(s) will differ from what it would have been had the same surgeon been in charge of both sessions. Our coding experts will discuss...

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