Payer rules differ with what’s considered an unrelated E/M service provided during the global period of a procedure. Typically, an evaluation and management (E/M) service provided during the global period of a procedure is not separately reimbursed, but is bundled into payment for the procedure. An exception occurs when the E/M service is unrelated to ...
Be sure to provide adequate clinical documentation to support 99024. By Barbara Aubry, RN, CPC, CPMA, CHCQM, FABQAURP As of July 1, the Centers for Medicare & Medicaid Services (CMS) began auditing claims for nearly 300 targeted services to determine whether CPT® 99024 Postoperative follow-up visit, normally included in the surgical package, to indicate that ...
In Billing
Aug 26th, 2016
The Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) requires the Centers for Medicare & Medicaid Services (CMS) to develop and implement a process to gather and analyze the necessary data on pre- and post-operative visits and other services furnished during global surgical periods other than the surgical procedure itself. CMS proposes in the ...
In Coding
Sep 30th, 2013
Removal of sutures is usually not a separately billable service. An exception may occur if the patient must be placed under general anesthesia to remove the sutures (15850 Removal of sutures under anesthesia (other than local), same surgeon or 15851 Removal of sutures under anesthesia (other than local), other surgeon). There are very few circumstances under ...