Can offices be reimbursed if hemorrhoids in different quadrants are treated within the 90-day global period?
A. Yes, the second hemorrhoid would be considered a staged/related procedure during the post-op period and modifier 58 would have to be attached to 46934 in the post-op period. Full reimbursement should be attained provided that there is at least 2 weeks between each procedure. Several states have written Local Coverage Decisions per Medicare for IRC of hemorrhoids.
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