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Global Days

  1. Post Global Days
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    If a patient has a procedure, such as an I&D, in the ER and returns for packing removal in 7 days, can the ER physician who is not a hospital employee, bill for the return visit? I am told the facility can because they are not subject to global days, however, is the ER physician?

    Thanks!
    Gina

  2. Default
    Quote Originally Posted by deja08 View Post
    If a patient has a procedure, such as an I&D, in the ER and returns for packing removal in 7 days, can the ER physician who is not a hospital employee, bill for the return visit? I am told the facility can because they are not subject to global days, however, is the ER physician?

    Thanks!
    Gina
    Hi,
    The ER physician may bill for the return visit. For ER physicians no global days implications.

  3. #3
    Location
    Milwaukee WI
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    Default Global
    I don't code for an ED physician, but I would think that if the procedure was performed by the ED physician, the 10-day global period would apply to that same physician.

    The reimbursement for the procedure takes into account the post-operative care that is required (in this case, removing the packing).

    I'm guessing the patient doesn't have a PMD.

    F Tessa Bartels, CPC, CPC-E/M

  4. #4
    Default
    You are suppose to code the procedure performed with -55 to indicate that it was a pop visit only.

  5. #5
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    Greeley, Colorado
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    I used to code for ED docs and we did not use any modifiers. The docs were part of the same PC, so even if Dr. A placed the sutures and Dr. C removed them 7-10 days later, Dr. C did not charge.
    Lisa Bledsoe, CPC, CPMA

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