global billing question help

TLC

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Fallbrook, CA
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One of our pediatric providers did a I&D 10060 on a patient. They came back twice within a week and saw another provider 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 * " 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
 

mhstrauss

True Blue
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One of our pediatric providers did a I&D 10060 on a patient. They came back twice within a week and saw another provider 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 * " 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

I have no idea about the "stars" she's referring to, but according to the RVU files, both 10060 and 10061 have 10-day global periods. If both of the post-op visits you listed above occurred in the 10 days following the procedure, I would not bill them...they are post-op, unless the payer allows for billing for minor post-op complications.

HTH!
 
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