I am new to this ENT specialty. Several of our physicians do many surgeries and spend significant time doing follow-up in ICU or other post-op follow-up visits….Typically for complications of surgery (i.e. tonsillectomy bleed or CSF sinus leak), other than billing for the complications procedure, such as 42962 with a -78 modifier. Is anyone aware if there is a way to capture the followup inpatient visits, within the global period, especially critical care/ICU care. I have not been able to find any way to capture any charges aside from a procedure they perform, when in the global period. This is a new specialty for me. Thanks.
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Tag Archives: global
Global Billing vs Problem Visits
We have 2 OBGYN Doctors and 2 Family Nurse Practitioners. Our FNPs will see OB patients for sick visits that are unrelated to pregnancy (flu, strep, ear ache, ect)
How exactly does the billing work in this situation? We have tried multiple ways but if we bill the e/m out from the sick visit, after the delivery is billed, the claim is reprocessed and gets denied and when appealing, they still dont get covered.
Does anyone have any insight for this type of situation?
Thank you!
global billing vs split billing
Hello,
If a provider moves to another OB practice (different TIN) and has patients follow her to continue their OB care she had established at other practice would these patients billing be global or split billing?
If a provider moves to another OB practice (different TIN) and has patients follow her to continue their OB care she had established at other practice would these patients billing be global or split billing?
Hernia Global Surgery Period
Question: Can 10140 (Seroma) in office be charged after a Hernia Surgery 49568 during global period?
Surgery global days
I have a patient that was seen in the ER for RUQ pain and abnormal finding on CT. The patient was admitted to the hospitalist. The hospitalist ordered a consult with the Surgeon. The patient was seen and decided to see if the patient improves. The next day the patient was seen and the decision was made to do surgery. I realize there is a 90 day global period starting the day before surgery. My question is can I bill the visit the day before surgery if it was prior to the decision made to do surgery.
I billed the following:
11/23/18 99225 (this visit is being denied) Would this still be considered inclusive?
11/24/18 99225-57
11/24/18 44970
Cpt 90870 – ect – global days?
Hello,
UHC Medicare is denying an E/M billed days AFTER the DOS of a ECT, stating "per UHC-Medicare, they stated that according to Medicare, ECT have a 90 days global". Does anyone has any information they can share on this? I’ve searched on the Medicare website and I cannot find anything. I also checked on EncoderPro and the code has no global days. Any information is appreciated. Thanks
Global Period
Was just wondering where to find the global period for the new 2019 CPT codes Biopsy/Integumentary System. Codes 11102 through 11107. I know deleted CPT code 11100 was zero global days. Would these codes also have a zero global day?
Thanks!
H&P non global
Trying to understand if the H&P is billable.. starting to code for inpatient
Patient saw cardiologist on 12/18/2018 for cardiac clearance before having and inguinal hernia surgery and dental extraction, on visit had an abnormal lexiscan .. Cardiologist recommend he have a heart catherization done since he has past history of CABG.
Patient is schedule for a heart cath and same cardiologist does the an H&P and heart cath on 01/10/2019 .. I don’t see a global period for heart cart 93459 ..
Please help, is H&P billable and if so, is it and inpatient code 99221-99223 or 99211-99215 ..
confused :confused:
Global period
Just wondering if 58661 is part of 58660. It is under the same category. I thought that when a code was first (58660) the other codes under it were indented that meant they were part of the first procedure. All of the codes under 58660 hold a 90day global where the 58661 only has a 10day global? I’m confused. Can anyone tell me why the 58661 only has a 10day? Thank you,
Terry
Terry
coding xrays in a global period
Hello,
Can anyone tell me how to code for an xray in a global period. We just started coding xrays in an Ortho office.
Do I code:
Z98.890
73030 – RT – 58
99024
Any Help is Appreciated.
Thank you,
LLR