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Thread: procedure during Observation Care

  1. #1
    Join Date
    Apr 2007
    Posts
    11

    Default procedure during Observation Care

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    We have a patient who was admitted to Observation care on 8/2/11. They had a procedure with a global period on the same day. The procedure (46040) and Initial Observation (99219) were paid but the Subsequent Observation (99225) on 8/3/11 as well as the Observation Discharge (99217) on 8/4/11 were denied as part of the global. Can we bill the 99225 and 99217 after a procedure and expect pay or should we not be billing for those?
    Avril Leal

  2. #2
    Join Date
    Apr 2007
    Location
    Milwaukee WI
    Posts
    4,451

    Default Global

    All E/M services performed during the global period are included in the reimbursement for the procedure, UNLESS totally unrelated to the procedure.

    Hope that helps.

    F Tessa Bartels, CPC, CEMC

  3. #3
    Join Date
    Apr 2007
    Location
    Columbia
    Posts
    100

    Default

    what if the procedure is a stent placement that has a zero-day global? Can you then bill for the subsequent day after the procedure (stent placement)? If so should you use the 99217 since they are being DC'd?
    Mary Beth Gord, CPC

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