Results 1 to 3 of 3

pacemaker global

  1. Default pacemaker global
    Medical Coding Books
    I am new to cardiology and need information on when it is and is not appropriate to apply the a-24 modifier and bill for a hospital visit outside the global package.

  2. #2
    Milwaukee WI
    Default UNrelated E/M
    Cardiology is NOT my area of expertise, but CPT guidelines are pretty specific.

    In order to use the -24 modifier, the visit must be for a "reason unrelated to the original procedure." (Quote from Appendix A, 2008 CPT Professional Edition, pg 457)

    I would think that most anything dealing with arrhythmia or other cardiac difficulties would be considered RELATED to the pacemaker placement and covered in the global period.

    Do you have a specific scenario that you are questioning?

    F Tessa Bartels, CPC, CPC-E/M

  3. #3
    To expand on the previous response.

    The 90 day global for PM/ICD insertion is for the surgical portion of the procedure and is not applicable to the functioning of the devise itself. If the patient experiences any heart rhytym symptoms within the 90 day global period, the ensuing E/M services would fall under post-operative care.

    However, cardiac symptoms such as chest pain, syncope, angina, shortness of breath, etc. may not have an arrythmia etiology and the associated E/M services would be separately reportable. Same for CAD, MI or other cardiomyopathies.

    If your in doubt, ask the physician.

    Terry Davis

Similar Threads

  1. Pacemaker checks within 90 day global
    By in forum Cardiology
    Replies: 2
    Last Post: 03-29-2013, 07:15 AM
  2. Replies: 1
    Last Post: 03-06-2013, 06:38 AM
  3. Cardioversion global for pacemaker?
    By MelGib310 in forum Cardiology
    Replies: 1
    Last Post: 11-08-2012, 12:08 PM
  4. pacemaker complications during global
    By jseda in forum Cardiology
    Replies: 2
    Last Post: 05-13-2010, 03:31 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?


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.