Wiki 10060 global help please

[TLC]

One of our pediatric providers did a I&D 10060 on a patient. They came back twice within a week and saw another one of our pediatric providers for follow up appts. The second doctor is charging 99214 then second visit a 99213 for this patient. She "squeezed out some discharge however did NOT perform another procedure. I told her the patient was under the 10 day global and could not charge the E/M codes. She looked up something about "starred * " global procedures (I have not heard of starred * procedures). She said the 10060 was ok for her to bill since it was a starred surgical procedure and that pre-op and post-op care is not included in the code. If it had been a 10061 then she couldn't of billed. I'm so confused does anybody know about this. My CPT book doesn't show any "stars" asterisk by the procedures is there a list somewhere? Please help.
Thank you

 

[mitchellde]

Starred procedures was a concept from"back in the day".. These were procedure codes that had a star next to them in the CPT book. It had nothing to do with global and was discontinued several years ago. If the provider has a 10 day global assigns then you cannot bill the E&M. Having said that.. A 99214 seems a little high for a follow visit for a 10060.

 

[CodingKing]

Yep back in the days is right. I did find this from 1999 from Super coder.

https://www.supercoder.com/coding-n...dures-may-differ-from-cpt-guildelines-article

I found a payment policy from blue cross where in the history it mentions removing the Starred procedures as its no longer applicable. So sounds as if the the doctor is about a decade behind.

 

[TLC]

Thank you for your help. I don't ever remember being taught anything about this. I hope the doctor understands.