Results 1 to 6 of 6

Global and injections

  1. #1
    Default Global and injections
    Exam Training Packages
    I hope you all can help - Our Doctor does a surgury with a 90 day global (29875) the patient follows up in office and our doctor gives an injection 20610 with J3301 - same Dx are used. It is kicking out for global. Is this something he can get paid for? Thank you for your help.

    G. Mitchell

  2. #2
    Default
    This would be considered part of the global package same knee, same dx, realted to surgery. You would be able to get reinbursment if it was a different problem not realted to the surgery with a mod 79. or a different knee of course.

  3. #3
    Location
    San Antonio, Tx
    Posts
    73
    Default
    You can get paid for the 20610 and the J3301 by adding the Modifier 58 to the 20610. The E&M will not be able to be billed if for the same DX as the Sx. Hope this helps.
    Ray Galvez CPC

  4. #4
    Location
    Greeley, Colorado
    Posts
    2,045
    Default
    If this is a Medicare patient it is part of the global. Medicare only pays for a return the the OR.
    Lisa Bledsoe, CPC, CPMA

  5. #5
    Default
    Thank you all for your response.

    G.Mitchell

  6. #6
    Location
    ENGLEWOOD/DENVER
    Posts
    2,338
    Default
    Quote Originally Posted by RGALVEZ View Post
    You can get paid for the 20610 and the J3301 by adding the Modifier 58 to the 20610. The E&M will not be able to be billed if for the same DX as the Sx. Hope this helps.
    58 would not be an appropriate modifier unless this was a staged type injection.

    I agree with Lisa, Medicare does not allow unless patient returns to the operating room, this info can be found in the NCCI guidelines. Since most carries claim to follow these guidelines (only if its in their favor of course) I think you may have problems getting paid for this unless you can prove that its not related to the surgery.

    just my two cents
    Mary, CPC, CANPC, COSC

Similar Threads

  1. Global injections
    By Denise M in forum Orthopaedics
    Replies: 1
    Last Post: 02-10-2015, 02:02 PM
  2. injections during global period
    By richelle25 in forum Orthopaedics
    Replies: 2
    Last Post: 05-10-2013, 09:53 PM
  3. Global vs Injections
    By stockekt in forum Urology
    Replies: 2
    Last Post: 12-08-2011, 07:26 AM
  4. Global period injections
    By rowaymat in forum Orthopaedics
    Replies: 5
    Last Post: 08-07-2008, 02:07 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?

Login

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.