Results 1 to 5 of 5

Removing Staples Past 10 Day Global Period

  1. #1
    Exclamation Removing Staples Past 10 Day Global Period
    Exam Training Packages
    I have a question. Let's say a patient has a cyst removed and sutures are put in. For some unknown reason, the appointment for the removal of these sutures occurs outside the 10 day global period. For the documentation, my physician does do an exam on this patient and his nurse removes the sutures. Would this visit be considered to be a "post op/no charge visit", or would it be considered a billable service 99212ish? I have heard it both ways, and I would really appreciate any documentation that anyone may have. Thank you

  2. Default
    If you were the ones who placed the sutures or staples even if outside the global period you are not allowed to charge. If the pt came in and had a visit and there were other things discused and dxed you may bill for this but if only the sutures were removed no you would not bill.

  3. #3
    Location
    Overland Park, KS
    Posts
    1,166
    Default
    If the global period has expired, then any postoperative care provided to the patient is separately reportable. So, provided the global period has expired, you can charge to take the sutures out. Suture removal is included in the E/M.
    Last edited by dballard2004; 10-24-2011 at 10:48 AM.
    Dawson Ballard, Jr., CPC, CEMC, CPMA, CCS-P, CPC-P, CRHC, AAPC Fellow
    Coder

  4. #4
    Location
    Loveland, CO
    Posts
    10
    Default
    Remember, as of 1-1-11, CPT's 12001-12018 have 0 global days. This means that all simple repairs will most likely include an additional E/M service for suture removal/follow up. (Both intermediate and complex repairs still have the ten day global period) My understanding is that the fee schedule has been adjusted to take this into account.

    Whitney CPC

  5. #5
    Location
    Tacoma, WA
    Posts
    1,087
    Default
    Quote Originally Posted by hortonwl View Post
    Remember, as of 1-1-11, CPT's 12001-12018 have 0 global days. This means that all simple repairs will most likely include an additional E/M service for suture removal/follow up. (Both intermediate and complex repairs still have the ten day global period) My understanding is that the fee schedule has been adjusted to take this into account.

    Whitney CPC
    True, but in this case we need to know the code used for the cyst removal and look at the global days for that procedure. If the suture removal was a day or so late I would probably just consider it global since they have to get the sutures or staples removed. Just because we can bill doesn't mean we have to...
    Arlene J. Smith, CPC, CPMA, CEMC, COBGC

Similar Threads

  1. Global Day Period?
    By mfiguli in forum Billing/Reimbursement
    Replies: 4
    Last Post: 10-09-2015, 03:39 PM
  2. 90 day Global Period
    By mdemecs in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-31-2011, 06:16 AM
  3. 90 day Global Period
    By mdemecs in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 08-31-2011, 06:16 AM
  4. 10 Day Global Period Help Please
    By cmac in forum Family Practice
    Replies: 5
    Last Post: 07-10-2009, 12:59 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?

Login

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.