AAPC - Back to school
Results 1 to 3 of 3

Thread: Help with 99232 & Global Surgical Package

  1. #1
    Join Date
    Apr 2007

    Default Help with 99232 & Global Surgical Package

    AAPC: Back to School
    I have a question about inpatient hospital visits during the global timeframe. Here's the situation: The patient was seen in the ER on 3/12/10 for an abscess/finger infection from a metal splinter. Was later admitted to the hospital and surgery was performed on 3/12/10. The patient remained in the hosptial from 3/12/10-3/22/10 (discharge date was 3/22). The operating physician follows up with the patient and is billing 99232 for 3/13, 3/14, 3/15, 3/16, 3/18, and bills 99239 on 3/22/10.

    My question is, would these inpatient visits be included as part of the global surgical package? To explain a little further, the patient developed sepsis and the physician was seeing the patient to monitor this condition along with "extensive cellulitis" and "tenosynovitis". I have reviewed copies of the inpatient notes, and the physician documents that he is evaluating the wound site & applying dressing changes. The physician also indicates that he has requested further evaluation from Infectious Disease for consultation of management of antibiotics.

    Any advice/or suggestions on billing 99232 global surgical package?


  2. #2


    You need to check with the patient's insurance carrier and how they determine global packages. My Medicare states that problems that arise (infections) from the surgery are considered part of the global however I have commercial carriers that don't follow that guideline.
    adrianne, cpc

  3. #3
    Join Date
    Apr 2007


    Ok-thank you for the reply. This is actually for a worker's compensation claim, so I guess the final decision will be up to the Bureau of Worker's Compensation!

Similar Threads

  1. Global Surgical Package
    By lhardin0621 in forum Auditing General Discussion
    Replies: 0
    Last Post: 01-22-2013, 08:17 AM
  2. Global Surgical Package
    By Valerie813 in forum Orthopaedics
    Replies: 2
    Last Post: 03-03-2011, 06:25 AM
  3. Pre-op outside global surgical package
    By Stefanie in forum OB/GYN
    Replies: 5
    Last Post: 09-29-2010, 03:45 PM
  4. Outside of the Global Surgical Package?
    By 1071471 in forum E/M
    Replies: 2
    Last Post: 04-22-2010, 01:08 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?


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.