In CMS
Feb 8th, 2016
The CPT® codebook defines the following as “always included” in the global fee (global period) for a surgery or procedure: Subsequent to the decision for surgery (procedure), one related E/M encounter on the date immediately prior to, or on the date of, the procedure Immediate postoperative (post-procedure) care, including talking with the family and other physicians ...
In Billing
Jun 15th, 2015
by John Verhovshek, MA, CPC Medicare bundles (includes without separate payment) certain services and supplies when they are provided with other, more comprehensive services. According to the National Correct Coding Initiative (NCCI), Chapter 1 (General Correct Coding Policies): Examples of services integral to a large number of procedures include: – Cleansing, shaving and prepping of ...
Jul 1st, 2009
Billable or Not? By G. John Verhovshek, MA, CPC A payer representative recently wrote to Coding Edge with a problem: “A clinical pathologist is also the medical director of a hospital-based laboratory. He is paid a hospital salary for his services as the lab director. He has been billing lab codes with modifier 26 Professional ...