AAPC - Back to school
Results 1 to 2 of 2

Thread: included in global??

  1. #1

    Default included in global??

    AAPC: Back to School
    I'm feeling stupid this morning.

    Can anyone help me out:

    One of our doctors saw a patient in the hospital while she was on call; this patient was admitted for asthma but was pregnant too. She was admitted on 12-16, delivered via C-sect on 12-18 (59514), and was discharged 12-22.

    the insurance is denying 99232 from 12-18 and 99238 from 12-22 stating they are included in the global proc. Can the doctor not charge for seeing the patient these days since she did the C section?

  2. #2
    Join Date
    Apr 2007
    Kansas City, MO


    The only way you might get reimbursed is if the documentation for the 99232 shows a clear decision for surgery. We had a similar case and the patients condition had begun to deteriorate which necessitated the need for the C-section. We billed it with the modifier -25 since the 59514 has no Global days. As for the discharge, I would appeal based on the grounds that the delivery only code does not have global days and the discharge should be reimbursed.
    Angela Jordan, CPC
    AAPC of Kansas City
    National Advisory Board Representative Region 5

    Medical Revenue $olutions
    Senior Managing Consultant


Similar Threads

  1. Pre-Op visit included in Global?
    By woowooz7 in forum E/M
    Replies: 2
    Last Post: 07-13-2015, 10:44 AM
  2. TURP global-what's included?
    By turtlebeest in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 07-06-2015, 10:01 AM
  3. Replies: 3
    Last Post: 09-18-2013, 01:35 PM
  4. Is j code included with global
    By BONDO350 in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 02-01-2010, 03:00 PM
  5. x-ray included in global?
    By Karma in forum Orthopaedics
    Replies: 2
    Last Post: 07-15-2008, 07:22 AM

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.