Results 1 to 2 of 2

Global ?/Different Provider

  1. Question Global ?/Different Provider
    Medical Coding Books
    A Medicare patient is under a 90 day global for knee replacement, the patient is concerned there is a problem with the incision and comes into see a family practice physician to look at the incision, no problem is found. Does Medicare allow an EM level to a physician other than the surgeon for post-op related visits? The GP is not the same speciality, so this would be different physician/different speciality, correct? I'm not sure if I can bill for this visit. Any help, direction would be appreciated.

    Thank you in advance for your help!

  2. #2
    Milwaukee WI
    Default Global period
    The global period applies ONLY to the surgeon who performed the procedure (or colleagues in the same practice and same specialty).

    The patient's PCP is not subject to the global period and can bill for E/M services or procedures performed.

    HOWEVER ... the patient should have received instructions following surgery that if there were any problems with infection, pain, etc to see the surgeon immediately. The surgeon's fee for the knee replacement included such postoperative care.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

Similar Threads

  1. new patient in a global period with another provider
    By pgirkins in forum Diagnosis Coding
    Replies: 1
    Last Post: 07-16-2013, 08:32 AM
  2. can the rendering provider and referring provider be same
    By arunp_001 in forum Medicare Regulations
    Replies: 2
    Last Post: 03-02-2013, 12:15 PM
  3. Replies: 8
    Last Post: 11-05-2009, 09:39 AM
  4. Global Period - Non-par provider
    By Partha in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 10-29-2008, 08:12 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.