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LVAD left open subsequent day closed trying to bill subsequent E/Ms

Date: Nov 9, 2020

Question:

We have a dilemma. My doc inserted an LVAD 33979-52 left open "0" global days. Closed chest 21750 on a subsequent day with 90-day global. Now this bundles any E/M services they performed subsequently. We were wondering if appending a -58 to the 21750 would make a difference. Any directive is appreciated.

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