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Wiki Gestational thrombocytopenia

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Tonyj

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Pt is being managed by a hematologist due to gestational thrombocytopenia. I've received denials stating it is inclusive of the global package. My question is Hem/Onc is separate from OB and managing her thrombocytopenia only. Why are we getting a denial for global package? Any help on this would be appreciated. I'm billing 99214 and 671.20.
 
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Global Package

Tony,

I have found that the standard answer from insurance companies are to deny anything in a global period. I still send, but I already type my letter explaining that the service my provider does is not included in the global package. It would be nice if there were a modifier. Modifier 24 is incorrect. Good Luck, Connie
 
644.33 is an invalid code. 671.2 is correct but you are using a 5th digit for unspecified, you need to be more specific such as 3 and you are required to add a secondary code. Consult your code book for the applicable secondary codes.
 
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