Alisa Dinneen
Networker
Can anyone tell me, if a procedure with a global period (47562) is discontinued and billed out with modifier 53, is the global period still in effect?
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Wiki Discontinued procedure w/global period
- Thread starter Alisa Dinneen
- Start date
RebeccaWoodward*
True Blue
Alisa,
This is a great question. I'm still digging but what I have found, thus far, is zero. I say this because when you look up CPT code 45378 with modifier 53, the global days are zero. I'm still trying to locate a Medicare reg...maybe someone will get to it before I do.
Anyway...you can see this if you go to this link.
http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp
Select the "payment policy indicators" and follow the prompts. When you get to the "modifier" prompt, select your drop down key and select modifier 53 and follow the rest.
This is a great question. I'm still digging but what I have found, thus far, is zero. I say this because when you look up CPT code 45378 with modifier 53, the global days are zero. I'm still trying to locate a Medicare reg...maybe someone will get to it before I do.
Anyway...you can see this if you go to this link.
http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp
Select the "payment policy indicators" and follow the prompts. When you get to the "modifier" prompt, select your drop down key and select modifier 53 and follow the rest.
Lisa Bledsoe
True Blue
I think there must be a global period since the surgery was attempted. I can't find anything in writing either, but when there is a global period for a procedure I think it would apply whether the procedure was terminated or not. If another procedure was eventually performed in relation to the original terminated procedure you would need a modifier (i.e. 58, 76, 77, 78).
RebeccaWoodward*
True Blue
Lisa,
I think you're probably correct. I didn't realize that the code I entered (45378) has zero days with or without 53. Silly me.
I think you're probably correct. I didn't realize that the code I entered (45378) has zero days with or without 53. Silly me.
Alisa Dinneen
Networker
Thank you for your response. This is my gut feeling, also, since I cannot find any documentation, either.
Thanks again,
Alisa
Thanks again,
Alisa