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Thread: Still in global period??

  1. #1
    Join Date
    Apr 2007
    Lehigh Valley

    Default Still in global period??

    AAPC: Back to School

    I am not sure about this one and need some help....the patient had a Hartmann's procedure on 8/11/09 and went back into the OR on 9/23/09 for an I & D for a non-healing abdominal wound.

    Can this I & D be billed out or is it still in the global period??

    Thanks for the help.


  2. #2
    Join Date
    Apr 2007
    Columbia, MO


    When a procedure within the global necessitates a return to the OR you may bill with a modifier, either 58 or 78 in this case. I would go with the 78.

    Debra A. Mitchell, MSPH, CPC-H

  3. #3
    Join Date
    Apr 2007
    Greeley, Colorado


    Debra is correct. Return to OR for an unplanned related procedure in the global period = modifier -78.
    Lisa Bledsoe, CPC, CPMA

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