Last Modified: 5/7/2020
Location: FL, PR, USVI
Business: Part A, Part B
Q. For care performed by the same physician within the hospital after a surgical procedure has been provided, can the visits be billed separately?
A. Any visit provided during a hospitalization with a surgery (except critical care and emergency room visits) by the physician who performed the surgery would not be separately billable, as they would be considered part of the global care (including post-op) of the patient. Other providers involved can bill for appropriate visits.
However, after the hospitalization, if the patient sees the same physician outside the hospital and during the global period, modifier 24 rules would apply to any potentially separately billable visits.
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