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Global Periods in the ER

  1. Default Global Periods in the ER
    Medical Coding Books
    Anyone with any input please feel free to give info. Are there be global periods in the ER for procedures done? I'm having lots of follow up in the ER.

  2. #2
    Jacksonville, FL River City Chapter
    When doing physician/provider-based billing, the global periods do not change depending on the location. If a laceration repair has a 10-day global, it has a 10-day global, no matter whether it's a primary care provider doing a follow-up visit for a laceration he sutured in the office a few days before, or an ED provider seeing a patient a few days after he sutured the laceration in the ED.

    Seth Canterbury, CPC, ACS-EM

  3. #3
    Milwaukee WI
    Default IF same provider
    The global period will apply if the same ER physician (or another ER physician in the same practice) performs the procedure and the follow-up.

    If the original procedure was done elsewhere, and the patient is coming to the ER for follow-up, then code the appropriate E/M service.

    F Tessa Bartels, CPC, CEMC

  4. Default
    Thank you for confirming that for me! Also, does anyone know where I can maybe find a complete list of procedures and their global periods? I am looking for a reliable source. Thanks again.

  5. #5
    North Carolina

    Select code range
    Select "payment policy indicators"
    enter CPT code(s)
    On your modifier drop down key--select all modifiers
    global days are the 3rd column (after the decription of the CPT code)
    Rebecca CPC, CPMA, CEMC

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  6. Default
    What if my employer is telling me to code follow up visits 99282's because that's the agreement between the company and the practice, regardless of global periods. I'm not sure that that is legal. Is it? Can I get in trouble for doing that? I know its medicare guidelines, so do I only have to use global periods for medicare charts?

  7. #7
    If you're employer has something in WRITING and SIGNED by the payor, then you are okay to follow those guidelines for that payor.

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