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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