Forum - Questions & Answers
Post Op aspirations
During a patient's post operative period, if they need an aspiration and injection, how would that be billed out? And would we likely get reimbursed for that?
re: Post Op aspirations
If the patient had let's say, knee sx. Swelling and fluid buildup is expected/anticipated so the aspiration and injection would be a complication of the surgery and not billable. However, if it's not related to the surgery, different dx, different part/compartment of the knee then it could be billable with a -24 on the E/M as unrelated E/m and a -79 on the injection for unrelated procedure. It depends on what the dictation reads and supports so just throwing guesses out there without knowing whats documented. Sometimes the dictation tells a different story than the question itself.
Not included in global package: Treatment of an underlying condition that is not part of NORMAL recovery.
re: Post Op aspirations
Medicare does not remit for any service related to a surgical procedure for which a patient is within an established global period unless the service(s) result in a return to the OR in which instance we must append modifier -78. In the event, an unrelated service such as an E/M is rendered within an established global period, modifier -24 must be appended and if a procedure such as an injection is rendered, modifier -79 must be appended to the injection.