Wiki Unplanned repeat procedure during the global period

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Clara1203

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I have a question in regards to an unplanned repeat procedure during the 10 global period for CPT code 10060. Pt returned to the ED after having an I&D on a buttock abscess that was performed 9 days before. The abscess became infected and the procedure was than again preformed. Would I use the 78 modifier or bill as a 99024?
 
Modifier 78 is not appropriate unless the procedure was performed in the operating room.

If this procedure is being done by the same provider as the one who performed the original procedure (or by another provider of the same specialty in the same practice), then it would be considered part of the of the global surgical package and not separately billed - per the CMS guidelines, treatment of complications that don't involve a return to the OR are included in the global payment.

The hospital, however, may bill a charge for the ED visit because facility services are not subject to a global period.
 
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