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Old 06-24-2011, 12:31 PM
joglesbee joglesbee is offline
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Default 10060 Global Period

So we have a physician that saw a patient and preformed a 10060, 3 days later he had the patient come back for a follow up. Can the e/m be billed. The reason I am asking this is the 10060 does have a global period, but when you look in the manual it does not relate to the CMS 100-4, 12, 40.2 billing requires for global surgeries.
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Old 06-27-2011, 09:17 AM
joglesbee joglesbee is offline
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anyone help me with this one?
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Old 06-27-2011, 12:23 PM
FTessaBartels FTessaBartels is offline
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Default 10-day global period

10060 has a 10-day global period. We would not charge for a follow-up visit performed within this time frame.

Hope that helps.

F Tessa Bartels, CPC, CEMC
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Old 06-27-2011, 01:13 PM
joglesbee joglesbee is offline
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that is what I would think, but the book doesn't make it clear. Is the 10-day global period associated with other procedures associated with the surgery. Or is it including all post op care as well?

I know I am pushing this, but if you can bill an E/M for post op care I am definitively for it when it comes to the 10060.
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Old 06-27-2011, 08:37 PM
eadun2000 eadun2000 is offline
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Quote:
Originally Posted by joglesbee View Post
that is what I would think, but the book doesn't make it clear. Is the 10-day global period associated with other procedures associated with the surgery. Or is it including all post op care as well?

I know I am pushing this, but if you can bill an E/M for post op care I am definitively for it when it comes to the 10060.
Which book are you referring to? It has a post op period of 10 days. During those 10 days if the patient comes in for follow up and no other problem addressed, you cannot code an E&M. What I am saying about other problems is like sore throat and physician dx tonsillitis and placed on antibiotic. In that case, you would have to add a mod 24 as visit is in global period. Hope this helps
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Old 06-28-2011, 07:23 AM
joglesbee joglesbee is offline
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I do know that, but if it is for the same dx. It is the Procedural coding expert and in front of every code set they provide a list of the CMS publications that pertain to that specific coding set so 10040-10180. Then it list the correct coding policy, a required physician presence, and s&i multiple procedure reduction, but does not list the global surgery package or the billing requirements for global surgeries which is a part of the next coding set 11000-11012.
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