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What to do after the 10 day global is over??

  1. #1
    Question What to do after the 10 day global is over??
    Medical Coding Books
    We have a patient that came in for removal of an infected sebaceous cyst. It was quite a large, extensive excision and the patient will require more than 10 days follow up for repacks. I have never run into this before with what to do after the 10 days global is over. At this point the nurses are doing all of the repacks so would I be able to charge a 99211 after the 10 days or should he start to make an appointment with the doctor for any further packings? This patient is HAMP commercial insurance.

    Thanks for any help!!

  2. #2
    The nurses can do the repacks and you can bill the claim as "incident-to" the physicians service once the global period has expired. If there is no specific code for the repack, then you can use 99211. All the "incident-to" guidelines must be followed though.
    Walker Bachman, CPC, CPPM

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