tci Part B Insider - 2010 Issue 31

Reader Questions: Call on 24 for New Px at Post-Op Visit

Question:Our physician saw a patient in follow-up for a tympanoplasty (69436, Tympanostomy [requiring insertion of ventilating tube], general anesthesia), within the insurer's 10-day global period for the minor procedure. The physician performed the follow-up, and the patient complained of sneezing with a clear runny nose. The note indicates, "Chief complaint: Patient presents for tube check and complains of clear rhinitis.Exam: Ears clear, no fluid. Nasal membranes swollen and red.Assessment/Plan: This patient has chronic OM that has resolved. She is given a free sample of Astelin for the rhinitis. Follow up here as needed."Should I charge an...

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