• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki Unplanned repeat procedure during the global period

Create Wiki
C

Clara1203

New
Messages
9
Location
Buckeye, AZ
Best answers
0
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.
 
You must log in or register to reply here.
Top