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Injections and Global Period

  1. #1
    Location
    Overland Park, KS
    Posts
    1,166
    Default Injections and Global Period
    Medical Coding Books
    We were recently audited and an issue came up with a chart that I would like someone's input on please...a patient came in for an I & D of an abscess and the provider ordered injections of Rocephin. One injection was performed at the time of the procedure, the patient was to return in three days for the second injection. I know that we would code for the injection and the procedure with the intial visit, but what about when they returned for the second visit? We did and the auditor said that that was wrong because it falls under the global period. I know that the procedure has a 0-10 day global period attached to it, but if we give treatment during that period, would we not code for it?
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  2. #2
    Location
    San Antonio, Tx
    Posts
    73
    Default
    You should be able to bill the J0696 (rocephin) and the admin code with the Modifier 58 attached to the admin code.
    Ray Galvez CPC

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    That is what I thought as well. I did not think there was a global period attached to injections. One other question...on the follow-up visit for the second injection, we would use 99024 as the EM correct?
    Last edited by dballard2004; 07-31-2009 at 06:46 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Location
    San Antonio, Tx
    Posts
    73
    Default
    yes. Not really neccessary since you do not submit it to the carrier.
    Ray Galvez CPC

  5. #5
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    Thansk so much for clarifying!
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

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