Wiki breast surgery

[CINDYMALONE]

the doctor did a consult on an inpatient in the hospital and decided to do an aspiration of the breast at the bedside 10160. i used the code 99253-57 for the consult and modifier for the aspiration. the 10160 has a 10 day global to it. the next day the dr wants to charge a visit 99232 and also took the pt to surgery for a 19020 mastotomy for abscess. can the visit be charged since the 10160 has a 10 day global on it. also do i need to put a modifier on the 19020 since the 10160 was done at the bedside the day before.

 

[lindacoder]

E/M should have had a 25 modifier instead of a 57. I would not charge for the "day" after the aspiration but I would put a 58 modifier on the mastotomy charge for the next day.