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Thread: Surgery within fracture care post op

  1. #1

    Default Surgery within fracture care post op

    AAPC: Back to School
    I need some insight on this. Pt comes in for for a fracture. We bill out fracture care for the 1st visit. Two weeks later it is determined that surgery is needed to repair/reconstruct. Do we still go by the date of the fracture care for the post op period? Or does it start over again when the patient has surgery?

  2. #2
    Join Date
    Apr 2007


    It is my understanding that the global period does NOT start over. When you take a patient to the OR during a global you have to add mod 78- this mod reduces your payment from the ins. co. they only pay for the "interoperative" portion of the surgery.

    More info in Orthopedic coding alert/2008 Vol. 12 no. 3

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