Results 1 to 5 of 5

Global Days

  1. #1
    Default Global Days
    Medical Coding Books
    We are having a discussion in my office in regards to pre op appts. Is it just the day before the surgery that is considered preop? We have a provider that wants to bill office visits if the patient is seen any other day than the day before the scheduled surgery. I know about global days after but was wondering if someone could clarify the preop global.


  2. #2
    For a surgery with a 90 day global period, the visit the day before the surgery is included in the global period (unless it was the visit where the decision for surgery was made then it can be billed with the 57 modifier). Just the visit one day before, then 90 days after. So if the pre-op was done 2 or more days before the surgery, it could be billed.
    Pam Tienter, CPC, COC, CPC-P, CCS-P, CPMA, CPC-I
    National Advisory Board Member 2018-2021, Region 6 Great Lakes

  3. Default
    Unless this visit was for something entirely unrelated to the surgery, I wouldn't bill for the service. The H&P would be included in the surgical global package, unless this was the decision for surgery occurring either on the same day of surgery or one day prior.


  4. #4
    Duluth, Minnesota
    bpct6501 is correct on the global package, preops - you can't charge for the preop if it's done the day before major surgery (90 day global) UNLESS it's a decision to do surgery then you'd append modifier 57 to the E/M... You can't charge preop if it's done the day of minor surgery. (again, UNLESS it's the decision for surgery and then again append modifier 57 to the E/M). Many patients get sent back to their primary care physician for the preop, their provider should be paid for their services (E/M preop clearance). There's a reason the clearance is needed (usually). *These are not the same as the review with the patient "refer to H&P" before surgery chat (day of, as they're being wheeled in) * ...
    Last edited by dmaec; 12-10-2008 at 12:14 PM.
    Donna, CPC, CPC-H

  5. #5
    Milwaukee WI
    Default Who's providing the pre-op exam?
    If the surgeon has made the decision for surgery previously and is asking the patient to come in 4 days prior to get the H&P done, this should NOT be billed. There's no medical necessity for this visit; scheduling it outside the usual global pre-op window doesn't make it medically necessary and billable.

    If the surgeon has requested pre-op clearance from the PMD for a co-morbidity, that's possibly a consult, and it is billable by the PMD (whether a consult or an established visit). If the surgeon is sending the patient to the PMD just to avoid doing the H&P work him/herself, shame on the surgeon.

    I know, the surgeons say they can't be paid for the service otherwise. But they ARE compensated for this service. It's included in the RVUs for the surgery.

    F Tessa Bartels, CPC, CPC-E/M

Similar Threads

  1. Global Days-I need help
    By R1CPC in forum General Surgery
    Replies: 1
    Last Post: 08-16-2011, 03:16 PM
  2. Changes to Global Days
    By bonzaibex in forum Medicare Regulations
    Replies: 1
    Last Post: 03-16-2011, 09:22 AM
  3. Global Days
    By dballard2004 in forum Medicare Regulations
    Replies: 2
    Last Post: 01-14-2011, 11:48 AM
  4. global days
    By shondia in forum Orthopaedics
    Replies: 0
    Last Post: 11-23-2010, 02:34 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.