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10060 Global Period

  1. Default 10060 Global Period
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    So we have a physician that saw a patient and preformed a 10060, 3 days later he had the patient come back for a follow up. Can the e/m be billed. The reason I am asking this is the 10060 does have a global period, but when you look in the manual it does not relate to the CMS 100-4, 12, 40.2 billing requires for global surgeries.

  2. Default
    anyone help me with this one?

  3. #3
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    Milwaukee WI
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    Default 10-day global period
    10060 has a 10-day global period. We would not charge for a follow-up visit performed within this time frame.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  4. Default
    that is what I would think, but the book doesn't make it clear. Is the 10-day global period associated with other procedures associated with the surgery. Or is it including all post op care as well?

    I know I am pushing this, but if you can bill an E/M for post op care I am definitively for it when it comes to the 10060.

  5. Default
    Quote Originally Posted by joglesbee View Post
    that is what I would think, but the book doesn't make it clear. Is the 10-day global period associated with other procedures associated with the surgery. Or is it including all post op care as well?

    I know I am pushing this, but if you can bill an E/M for post op care I am definitively for it when it comes to the 10060.
    Which book are you referring to? It has a post op period of 10 days. During those 10 days if the patient comes in for follow up and no other problem addressed, you cannot code an E&M. What I am saying about other problems is like sore throat and physician dx tonsillitis and placed on antibiotic. In that case, you would have to add a mod 24 as visit is in global period. Hope this helps

  6. Default
    I do know that, but if it is for the same dx. It is the Procedural coding expert and in front of every code set they provide a list of the CMS publications that pertain to that specific coding set so 10040-10180. Then it list the correct coding policy, a required physician presence, and s&i multiple procedure reduction, but does not list the global surgery package or the billing requirements for global surgeries which is a part of the next coding set 11000-11012.

  7. Smile 10060 Another Question
    Hello,

    I have read the other comments on the billing during the post op treatment for the 10060. I have another question. Where can I find a clear definition of what would constitute the billing out of an office visit if there complications with the cyst site? Bear in mind that an rx. was prescribed on the initial date of treatment and the follow up visits are for complications and continued drainage & packing. A biopsy is being billed, on the third follow up visit (due to the amount of drainage) and office visit are to be billed.

    This may be redundant...I just need material that I can print off and present.

    Thank you,

  8. Default coder
    I am having the same problem. I understand that 10060 has a 10-day global but what happens if there are complications followups for infections and repacking of wound?

  9. #9
    Default
    Quote Originally Posted by khristinelouise View Post
    I am having the same problem. I understand that 10060 has a 10-day global but what happens if there are complications followups for infections and repacking of wound?
    My understanding is complications are bundled unless they require return to OR (I think treatment room counts but not 100% sure). Those that require return to OR would be billed with modifier 78 on the
    CPC-P-A (11/2016), COC-A (9/2016), CPC-A (11/2015), PAHM (2010)
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  10. #10
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    Default 10060 global peroid
    Our patient is similar, but with a slight twist. Initial I&D R breast abscess done in the ER on 12/20. Two days later she presented to our office for removal of packing, but additional work was necessary due to infection/drainage. Is the additional work billable in this type of scenario or is this included in the E/M?

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