I have a question about inpatient hospital visits during the global timeframe. Here's the situation: The patient was seen in the ER on 3/12/10 for an abscess/finger infection from a metal splinter. Was later admitted to the hospital and surgery was performed on 3/12/10. The patient remained in the hosptial from 3/12/10-3/22/10 (discharge date was 3/22). The operating physician follows up with the patient and is billing 99232 for 3/13, 3/14, 3/15, 3/16, 3/18, and bills 99239 on 3/22/10.
My question is, would these inpatient visits be included as part of the global surgical package? To explain a little further, the patient developed sepsis and the physician was seeing the patient to monitor this condition along with "extensive cellulitis" and "tenosynovitis". I have reviewed copies of the inpatient notes, and the physician documents that he is evaluating the wound site & applying dressing changes. The physician also indicates that he has requested further evaluation from Infectious Disease for consultation of management of antibiotics.
Any advice/or suggestions on billing 99232 global surgical package?
Thanks,
My question is, would these inpatient visits be included as part of the global surgical package? To explain a little further, the patient developed sepsis and the physician was seeing the patient to monitor this condition along with "extensive cellulitis" and "tenosynovitis". I have reviewed copies of the inpatient notes, and the physician documents that he is evaluating the wound site & applying dressing changes. The physician also indicates that he has requested further evaluation from Infectious Disease for consultation of management of antibiotics.
Any advice/or suggestions on billing 99232 global surgical package?
Thanks,