phycoder
Networker
I have a simple question I know. The patient comes with a simple fracture and all they do is apply cast. Are the next 90 days considered within a 90 global or fracture care non billable visits?
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Wiki fracture care question please
- Thread starter phycoder
- Start date
johnmeyer
Guru
If casting was the only service provided, then there is no global period since there's no global period for casting.
amyjph
True Blue
No, it is dependent on the CPT code billed initially. Casting does not have a global. However, if the provider intended to place the patient in fracture care, and charged a fracture care global code the patient would be in a global.
Example: Patient presents with a distal radius fracture, doesn't require surgery, provider documents correctly and intends to place the patient in non-op fracture care, coded 25600, patient casted. Since the provider chose 25600, the initial casting service (ex. 29075) would not have been billed and the patient would be in a 90 day global.
The provider has the choice of billing the global way or the itemized way at the initial time of service.
Example: Patient presents with a distal radius fracture, doesn't require surgery, provider documents correctly and intends to place the patient in non-op fracture care, coded 25600, patient casted. Since the provider chose 25600, the initial casting service (ex. 29075) would not have been billed and the patient would be in a 90 day global.
The provider has the choice of billing the global way or the itemized way at the initial time of service.