CMS Medicare Require Global Surgery Reporting for Post-Op Visits for 9 States
Aug16

CMS Medicare Require Global Surgery Reporting for Post-Op Visits for 9 States

CMS Require Global Surgery Reporting for Post-Op Visits Effective July 01, 2017 from 9 States  CMS now require providers who are part of a group practice with 10 or more providers; and are practicing in the State of Florida, Kentucky, Louisiana, Nevada, New Jersey, North Dakota, Ohio, Oregon and Rhode Island to report CPT Code 99024 to indicate a… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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CPT Code for Hernia Incisional or Ventral Open or Laparoscopic
Oct13

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic

CPT Code for Hernia Incisional or Ventral Open or Laparoscopic INCISIONAL/VENTRAL HERNIA (OPEN) 49560 Repair initial incisional or ventral hernia; reducible 49561 Repair initial incisional or ventral hernia; incarcerated or strangulated 49565 Repair recurrent incisional or ventral hernia; reducible 49566 Repair recurrent incisional or ventral hernia; incarcerated or strangulated Use CPT Code 49568 (MESH) Implantation… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication
Oct13

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication

General Surgery Coding – Hernias Open and Laparoscopic – Fundoplication EPIGASTRIC HERNIA (OPEN) 49570 Repair epigastric hernia (eg, preperitoneal fat); reducible (separate procedure) 49572 Repair epigastric hernia (eg, preperitoneal fat); incarcerated or strangulated FEMORAL HERNIA (OPEN) 49550 Repair initial femoral hernia, any age; reducible 49553 Repair initial femoral hernia, any age; incarcerated or strangulated 49555… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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CPT Code for Stab Phlebectomy | What if less than 10 incisions?
Oct12

CPT Code for Stab Phlebectomy | What if less than 10 incisions?

CPT Code for Stab Phlebectomy and what if less than 10 incisions? Keypoints: ** This procedure is Unilateral and can be billed as bilateral. ** Append Modifier 50 for Bilateral ** Append Modifier LT or RT for Unilateral ** Global: 90 days ** Crosses over with ICD-9 Codes: (medical necessity) 37765   Stab phlebectomy of… Please LOGIN HERE to view this content. Or, REGISTER HERE Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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What Modifier for Global Surgery Should You Use?
Jan06

What Modifier for Global Surgery Should You Use?

Modifier for Global Surgery  (when used during the Surgical Global Days) Modifier 24 Evaluation and management service performed during the postoperative period for reasons unrelated to the original surgical procedure. Modifier 57 Evaluation and Management service involving the initial decision to perform surgery either the day before or the day of a 90-day major surgery. Append when the decision to perform surgery is made the day before or day of a 90-day major surgery. An Evaluation and Management service resulted in the initial decision to perform surgery during the E/M encounter. Let’s describe this modifier 57: An OB/GYN Doc sees a patient who complains with severe abdominal pain. It turned out (through ultra sound, radiology and all other diagnostic testing and documentations), the patient is having an ectopic pregrancy. The OB/GYN performs the laparoscopic surgery on the same day. The E/M encounter will then be reported with modifier 57 which resulted to decision for surgery. The laparoscopic surgery should also be reported as performed on the same day without a modifier. The following are your Modifier for Global Surgery (Postoperative) While the patient is covered by a global period, the following three modifiers may be appended to surgical CPT codes to indicate that an unrelated surgical procedure is being reported: Modifier 58: Staged or related procedure or service by the same physician or other qualified healthcare professional during the postoperative period Modifier 78: Unplanned return to the operating/procedure room by the same physician or other qualified healthcare professional following initial procedure for a related procedure during the postoperative period Modifier 79: Unrelated procedure or service by the same physician or other qualified healthcare professional during the postoperative period References you can read: (Modifier for Global Surgery) Chapter 12 – Physicians Nonphysician Practitioners What Modifier for Global Surgery Should You Use?  How to Use Billing Modifiers in Medical Coding Searched Keyword: Modifier for Global Surgery Find this article useful? Please comment below and share what you just found from this website! Go ahead - please click "SHARE"EmailTweetShare on...

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Billing for Global Surgical Packages
Jan06

Billing for Global Surgical Packages

Billing for global surgical packages   … also referred to as global surgical procedure can be tricky if you don’t understand what it means and how to be billing for global surgical packages. Let’s try to understand what global surgical packages means. You have to remember that when you are billing for global surgical packages, it is already inclusive  with almost all necessary services that the surgeon would render surgeon prior to, in the course of, and also from a procedure. Treatment repayment for your surgical treatment incorporates the preoperative, intra-operative and also post-operative providers routinely carried out by the surgeon or perhaps simply by people on the identical collection while using identical area of expertise. Health professionals inside the identical collection train who are inside the identical area of expertise should bill and be paid for as if they were 1 medical doctor. Here are the 3 Different Scenarios when Billing for Global Surgical Packages “0” Day (Zero-day global procedures) Procedures performed with “0” global days that don’t have a Pre-Op or Post-Operative  period. But you can not bill for an E/M encounter when rendered on the same day of the procedure and is related with the surgery. Modifier 57 will not in this scenario. 10-day: The 10 days surgical global period. This include 11 full days which begins from the day of the surgery plus the 10 following days of the surgery. There is no Pre-operative included in this global days. Most of the minor surgical procedures has 10-days global surgical days – CPT  46221 (Hemorrhoidectomy, internal, by rubber band ligation(s)) is a very good example of a minor surgical procedure which has a 10 days global. 90-day:  The 90 days surgical global has 92 days in total. This includes – one day before the procedure, the day of the surgery, and the 90 days of Post-OP care immediately following the surgery. You’ll find that major surgical procedures carry a 90-day global period, such as 49653 Laparoscopy, surgical, repair, ventral, umbilical, spigelian or epigastric hernia (includes mesh insertion, when performed); incarcerated or strangulated. Take note that during the global days, you can not bill for a separate Evaluation and Management when your Surgeon is providing care during a normal pre-operative, surgical, or post-operative period, and also during the Post-Operative period that is related to the patient recovery from the surgery, including pain management. Meaning, during the 90 days global period – you can not bill for an E/M if it is related to the surgery. Let me give you a good example – your surgeon performed an appendectomy on a patient and we know that CPT  44950 (Appendectomy) has a surgical global days of 90 days. After a week, the patient came back to your office complaining...

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