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Wiki Billing post op office visit when insurance denied surgery for no pre auth

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urbach34@yahoo.com

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I am coding for an orthopedic surgen who had a procedure (26055-Tendon Sheath Incision) denied by insurance for no pre auth. The office tried getting a retro auth but it was denied. My question is, if insurance is not going to pay for the procedure that would have put the patient into a global period, am I able to bill for the post op office visits?
The office manager feels that I cannot bill because the patient would still be in a global period from the hospital billing their part of the surgery.
Any input would be greatly appreciated!
 
No you can't bill during global, coding rules still state it has a global period even if patient insurance doesn't pay.
 
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