Results 1 to 3 of 3

reimbursement for debridement

  1. #1
    Smile reimbursement for debridement
    New Call-to-action
    Hello Coding World!!!

    There are changes for debridements services which will affect my practice. My concern would be if the 11043 and 11044 indeed have a 90 day global period (which I have no edvidence).

    if we have a complex patient that we evaluate and then manage but have debridement as part of the management, can we just bill an em code.

    another concern is the use of modifers for a 90 day procedure in the situation above would require the 57 modifier for EM and procedure??? or could we continue to use 25 modifier ???

    With the major cut in payments we are trying to find ways to maximaize our reimbursement

  2. Default debridements
    Thanks for the posting of debridement changes - I haven't had a chance to check to see what the changes are - but if debridements have a 90 global then you would use modifier 78 or 79 as appropriate and modifier 24 on the e/m

  3. #3
    Medical Billing
    Thank you for your response...

    In regards to global periods is it up to AMA to decide and if so could I find edvidence of the discussion???


Similar Threads

  1. Replies: 1
    Last Post: 11-30-2015, 10:10 AM
  2. Reimbursement...yes or no??
    By leasiepops in forum Billing/Reimbursement
    Replies: 1
    Last Post: 11-04-2014, 06:41 PM
  3. Reimbursement Analyst-Reimbursement
    By allicat in forum Employment General Discussion
    Replies: 0
    Last Post: 02-25-2013, 05:49 AM
  4. Debridement vs operative debridement
    By donnagullikson in forum Medical Coding General Discussion
    Replies: 2
    Last Post: 09-21-2010, 04:28 AM
  5. Operative debridement vs regular debridement
    By donnagullikson in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-17-2010, 05:30 AM

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.