Wiki 31237 in post op from FESS??

[kbur1013]

Can CPT 31237 be billed within the post-operative period of a FESS? For example if the codes billed for the surgery are 31255, 31267, 30140 & 30520. 31255, 31267 & 30520 have zero day global and 30520 has a 90 day global.

At a one month follow up appointment the provider performs the 31237, is this billable with a modifier or included in the surgery?

I'm finding conflicting information.

Thanks!

 

[pwald614]

31237 in post op from fess

You definitely should bill the 31237 for any debridements the physician may do because of the FESS. Unfortunately, I am finding that BCBS is only wanting to pay for one when my physician usually does 2-3 postoperatively. The 30520 is the only code with a 90 day global so you would attach a 79 modifier to the code. I would also suggest precerting it when you precert the actual surgery.