Air Fluid Gas Exchange

Am I allowed to bill code 67025 while the patient is in post-op for 67041 and 66020? We are a retinal specialist. The 67025 was done in the office, while the others were done outpatient at a hospital.

67025

The Medicare global surgery package includes any additional medical or surgical services during the postop period to treat a complication that doesn’t require a return to the operating room (MCPM Ch.12, §40.1A). So, unplanned injections performed in-office to cope with complications are not separately reimbursed. If the injection is given in an OR, however, it may be reimbursed (using modifier -78). Pre-planned intravitreal injections are not part of the global surgery package and are reimbursed under the rules for staged procedures (using modifier -58). Other payers may have different coverage guidelines.

Air Fluid Gas Exchange

[The Medicare global surgery package includes any additional medical or surgical services during the postop period to treat a complication that doesn’t require a return to the operating room (MCPM Ch.12, §40.1A). So, unplanned injections performed in-office to cope with complications are not separately reimbursed. If the injection is given in an OR, however, it may be reimbursed (using modifier -78). Pre-planned intravitreal injections are not part of the global surgery package and are reimbursed under the rules for staged procedures (using modifier -58). Other payers may have different coverage guidelines.
]

Thank you very much!!!