“I have a patient who had a bunionectomy. The patient was diagnosed with a post- operative infection within the global period which required evaluation and management. I billed Medicare for an office visit, but Medicare will not pay. What am I doing wrong? I used 24 as a modifier.”
“I have a patient with a possible 1st proximal phalanx cyst vs infection that I plan to do an exploratory procedure and collect some bone cultures / swabs on. MRI was inconclusive.
If I get in there and the bone appears necrotic/infected, I will have on the consent form to allow for a PIPJ arthroplasty. So, we'll get prior auth for all these procedures prior to surgery.
But, for the initial planned procedure, how would this be coded?”
Overuse of skin substitutes (CTPs) to help heal wounds/ulcers has especially come under fire in recent years. Medicare spent more than $10 BILLION on these products in 2024 – more than DOUBLE what was spent the year prior.