Orthopedic Coding Alert
Global Periods XXX and 000 Are Not Synonymous
Published on Tue Jul 01, 2003
When dealing with global surgical packages, remember to differentiate between the XXX and 000 global periods although both appear free of global bundling issues, there is a distinct difference between
the two.
The classification XXX (Global surgical rules do not apply) means that the service is truly free of global surgical bundling issues, and you can separately report services that you perform on the same date as the sur-
gical procedure.
The 000 indicator applies to the date of the procedure only. Medicare will therefore bundle all surgical services that you perform on the surgery date into codes with this indicator.
Other Articles in this issue of
Orthopedic Coding Alert
- New Crop of ICD-9 Codes Makes Debut:
Muscle Weakness, Difficulty Walking Diagnoses Redefined
"Orthopedic practices will finally be able to specify muscle weakness diagnoses, thanks to a new [...] - Same-Practice Orthopedists:
Same Surgeon
When different orthopedists in your practice treat a patient during her global surgical period, Medicare [...] - Global Periods XXX and 000 Are Not Synonymous
When dealing with global surgical packages, remember to differentiate between the XXX and 000 global [...] - You Be the Coder:
Which Modifier Describes Assisted Surgery?
Question: I assisted another surgeon during part of a patients total hip replacement, but I [...] - Reader Questions:
Pulley Reconstruction? See the 26500 Series
Question: Which code should I use for reconstruction of the A1 and A2 pulleys of [...] - Reader Questions:
Follow Five Rules for Dermabond Repairs
Question: Can I report G0168 when I use Dermabond for a simple laceration repair? Can [...] - Reader Questions:
Apply 29807 to SLAP Lesions Only
Question: Our surgeons operative report states, Repair of posterior labral tear. Should I report 29806, [...] - Reader Questions:
Signify Separate Interspaces With -59
Question: Our surgeon performed a single-level bilateral revision decompression (63042-50) as well as a single-level [...] - Reader Questions:
Append -59 for Two Fluoros
Question: Our physician performed fluoroscopy for a transforaminal lumbar epidural steroid injection, and later used [...] - Reader Questions:
Even Observation Patients Require H&P
Question: Our orthopedist admitted a patient as observation status. He handwrote a history and physical [...] - Reader Questions:
76066 Signals Joint Survey
Question: How should I report a long leg x-ray that included films of the hip, [...]
View All
