tci Part B Insider - 2011 Issue 2

Reader Questions: Cancer Surgery Could Impact Patient Diagnosis

Question: When can we bill a visit after a surgery for cancer? Our understanding is that we can bill the \"where we go from here\" initial chemotherapy plan during the post-op period. But can we bill subsequent office visits when the physician is only clearing the patient to receive chemotherapy? If so, which diagnosis should we use? Or are these visits included in the global? Answer: You are correct. You may code for the visit(s) during the post-op period that are directly related to chemotherapy or preparation of the patient for chemotherapy. Remember to add modifier 24 (Unrelated evaluation...

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