global period

  1. J

    Wiki Can a Ridge leg cast be applied during Global period? if so what would be the appropriate modifier? or is the casting included in the postop/ global.

    Hello, I need some help. Pt had surgery this month and still within the global period, provided applies a Ridge leg cast on the sx site And toenail debridement noted for the RT foot. Would a modifier be needed for the ridge leg cast? Or is that casting within the global? He document a new total...
  2. xxxZithxxx

    Wiki Pacemaker/Defib Checks after PM/Defib Insertion/Battery Change

    A patient has a pacemaker/defib inserted or battery/lead changed and 10 days later returns to the office for a routine follow-up visit and pacer/defib check. The follow-up visit would be billed as a post-op 99024, as it is within the 90 day global period. -->But what about the pacer/defib...
  3. V

    Wiki How to bill a post op fever?

    Hello all, I am debating over a claim where to code it as inpatient consult or a post op follow up. Below is the scenario and I hope one of you can give me your thoughts. This patient had a major procedure by our general surgeon and is under 90-day global period. Patient called the next day...
  4. K

    Wiki The global package

    Hello, I was wondering if someone could clarify this for me because I've seen contradicting things. If someone develops a compilation of pregnancy like gestational diabetes or gestational hypertension amd they are visiting for it I can bill it out separately because it's a complication, even...
    • Korbc
    • Thread
    • global antepartum global billing global maternity global period
    • Replies: 1
    • Forum: OB/GYN
  5. J

    Wiki Global billing and ER visit

    Patient is in global for hip fx goes to ER for anemia and next day has a consult by another provider in the ortho office for hip and thigh pain. Would it still fall into post op?
    • JDuhaime
    • Thread
    • emergency room global period hip orthopaedics
    • Replies: 1
    • Forum: Orthopaedics
  6. K

    Wiki Assistant at Surgery - Global Period

    I have a physician questioning if the global period applies to him when he was the "assistant at surgery". He feels that the global period does not apply when he is only the assistant and can bill for sub visits. I have researched this and I can't find anything "in writing". I am pretty...
  7. L

    Wiki capture charges for complex debridement within global period ?

    Hello, My doctors asked if there is a way to capture charges for 97597-8 Debridement (eg, high pressure waterjet with/without suction, sharp selective debridement with scissors, scalpel and forceps), open wound, (eg, fibrin, devitalized epidermis and/or dermis, exudate, debris, biofilm)...
    • Lubovic
    • Thread
    • billing 97597 debridements global period mod 58
    • Replies: 3
    • Forum: Modifiers
  8. M

    Wiki Global period for PPD skin test?

    Is there a global period for the PPD skin test? The provider is wanting to bill for this encounter but I'm not sure if it should be included in the original service or not. The patient was given a PPD skin test 24 hours ago. She states she developed a large reddened area at the site and came in...
  9. N

    Wiki ORTHOPEDIC SPINE SURGEON

    Please advise, UHC has been denying our claims for L0637 with mod 57 as a global period for a surgery that what was preformed 3 day later. Any tips or advise anyone could give me Thank you
  10. J

    Wiki 2nd Opinion, fracture, can we bill Office Visit?

    If someone could PLEASE shed some light on this because there are differing opinions in the office. A child was seen by a different practice, he has a broken arm, I am ASSUMING they billed a fracture code. Mom wants him to come see us for a second opinion because they are removing the cast...
  11. L

    Wiki E/M Modifier article in Healthcare Business Monthly

    Did anyone notice that this article states "Modifier 57 is used when an E/M service is rendered within the three days preceding, or on the same day as, a procedure with a 90-day global period." I've always been instructed that modifier 57 is used for ONE day preceding, or on the same day as, a...
    • lbrookin
    • Thread
    • 90-day global period healthcare business modifier 57
    • Replies: 1
    • Forum: E/M
  12. C

    Wiki How would you code screen colon done in asc and hemorrhoid banding done in office

    Our MD did a screening colon on a patient in our ASC and found hemorrhoids so brought the patient back to our office to do a hemorrhoid banding on the same day. I HAVE NO IDEA WHY HE DIDN'T BAND THEM AT THE ASC (we have done that many times)!!!! They are different POS (24 and 11). The banding...
    • cedwards
    • Thread
    • banding global period help!! multiple procedures separate pos
    • Replies: 0
    • Forum: Gastroenterology
  13. S

    Wiki fracture care question

    A patient is seen by another provider at a different practice and a cast was applied and a fracture care code billed. the patient called our practice and wants to make an appointment to be seen. How would be bill this? Can we bill an office visit even though she is currently in a global...
  14. M

    Wiki Modifier 58

    Good morning, I have a question regarding global periods when modifier 58 is used. If there is a patient that is within a 90 day global period but then has a staged procedure that has 58 modifier and 0 global days, do you still keep that 90 day global period? Or would you start billing the...
  15. M

    Wiki Global Period Question

    Hello, If a resident or a fellow (non-billable) from Urology performs a major surgery (90 day global period), can the following days (subsequent visits) be billed by the Urology Attending physician since the Attending did not perform the surgery? Please advise. Thanks, Mary V., RHIA, CPMA
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