Forum - Questions & Answers

Feb 18th, 2010 - gfrazier

CAB surgery golbal billing

If a surgeon does a CAB and a provider in the same group bill critical care code 99291 next day or is it included in the surgery global

Feb 18th, 2010 - nmaguire   2,606 

Global

Critical care related to recovery from surgery is included in Global by surgeon or member of group/specialty.

Feb 18th, 2010 -

global surgical package

Ok, but i read that there are some situation in which critical care(99291 & 99292) are payable separately on the codapedia site. here are some:

1. preoperative visits, intra-operative services, complication following surg( all additional medical or surg. services that do not requrie a return visit to the OR, postoperative visits which are related to the recovery from the sug, supplies and misc.services such as dressing changes, local incisional care, removal of operative pack..etc..

the group of md i work with are inquire if they have to see the patient next day when someone else has done the CAB can they bill critical care time, at first i thought no because it would be included in the global, but after reading the information on global surg. package..

Feb 18th, 2010 -

I should point out

that critical care billing requires an acutely critically ill patient, and a post-op CABG patient is certainly ill but does not meet the standard for critical care services- unless things go bad. So let's say Dr A did surgery and Dr B rounds the next day, adjusts drips, examines patient, orders blood products- that is a service in the global period. If Dr B is called in and the patient is hypotensive with desaturations on the ventilator, spiking a fever, requiring Dr B to stay in the unit and supervise treatments minute by minute, that is a critical care service.

Feb 18th, 2010 - nmaguire   2,606 

Unrelated to surgery

Critical care services (codes 99291 and 99292) unrelated to the surgery where a seriously injured or burned patient is critically ill and requires constant attendance of the physician.
http://sccmwww.sccm.org/professional_resources/coding_billing/Documents/Primer3.pdf



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