tci General Surgery Coding Alert - 2013 Issue 1

Reader Question: Modifier 24 Makes E/M During Global a Possibility

Question: When a patient is having feeding problems following major surgery, can the surgeon bill for hospital visits for the TPN even though it’s within the global period? If so, what CPT and ICD-9 codes should we report? Texas Subscriber Answer: Under some circumstances, you may be able to separately charge for your surgeon’s patient visits related to total parenteral nutrition (TPN) for the patient with feeding difficulties. Not for complication: If the feeding difficulties are a complication of surgery, you can’t separately bill Medicare or some other payers. However, if it’s not for a...

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