Regina Tinney
Networker
Trauma surgeons are seeing patients that they admit due to numerous bad injuries, they wind up doing surgery on the patient with 90 global, they see the patient for the next 5 days and want to charge critical care....they are seeing the patient for other things such as respiratory failure or renal failure, possible fractures in addition to follow up for their surgery, can this be billed with modifier 24 or will it still be global to their surgery. To me this is a gray area, but it is happening all the time in trauma centers. Any guidance would be appreciated, any coding materials would be helpful. I can't believe we have to leave all this CC on the table just because of the global from their surgery when they admitted and are seeing them, for other things in addition to their follow up......Help!