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Wiki Global Periods in the ER
- Thread starter ness01
- Start date
SCanterbury
Networker
When doing physician/provider-based billing, the global periods do not change depending on the location. If a laceration repair has a 10-day global, it has a 10-day global, no matter whether it's a primary care provider doing a follow-up visit for a laceration he sutured in the office a few days before, or an ED provider seeing a patient a few days after he sutured the laceration in the ED.
Seth Canterbury, CPC, ACS-EM
Seth Canterbury, CPC, ACS-EM
FTessaBartels
Guest
IF same provider
The global period will apply if the same ER physician (or another ER physician in the same practice) performs the procedure and the follow-up.
If the original procedure was done elsewhere, and the patient is coming to the ER for follow-up, then code the appropriate E/M service.
F Tessa Bartels, CPC, CEMC
The global period will apply if the same ER physician (or another ER physician in the same practice) performs the procedure and the follow-up.
If the original procedure was done elsewhere, and the patient is coming to the ER for follow-up, then code the appropriate E/M service.
F Tessa Bartels, CPC, CEMC
RebeccaWoodward*
True Blue
Yes...CMS
http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp?agree=yes&next=Accept
Select code range
Select "payment policy indicators"
next
next
enter CPT code(s)
On your modifier drop down key--select all modifiers
submit
global days are the 3rd column (after the decription of the CPT code)
http://www.cms.hhs.gov/pfslookup/02_PFSsearch.asp?agree=yes&next=Accept
Select code range
Select "payment policy indicators"
next
next
enter CPT code(s)
On your modifier drop down key--select all modifiers
submit
global days are the 3rd column (after the decription of the CPT code)
What if my employer is telling me to code follow up visits 99282's because that's the agreement between the company and the practice, regardless of global periods. I'm not sure that that is legal. Is it? Can I get in trouble for doing that? I know its medicare guidelines, so do I only have to use global periods for medicare charts?
mbort
True Blue
If you're employer has something in WRITING and SIGNED by the payor, then you are okay to follow those guidelines for that payor.