Forum - Questions & Answers

Aug 15th, 2011 - TerryC 39 

I need help please Follow-up during global period

I know when a doctor see's a patient during the "global period" these are "no charge" visits. However what if the patient has an extensive wound that requires a lot of "packing" material to be used and they spend time cleaning and re-packing the wound. Can they charge at least for the dressing's they are using??

Also what if the patient was seen in the ER or an urgent care by a different doctor, than has to go see their own doctor or for re-packing can they charge a visit and re-packing using a modifier 55 "postoperative management"?
Thank you very much

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Aug 18th, 2011 - jschmutz   323 

re: I need help please Follow-up during global period

If your doctor feels that the wound goes above and beyond normal post-op care then you can report this. If pt has MCR then all complications related to the surgery are included in the global package.

If your group was not the one that did the surgery then you bill the re-packing using the appropriate E/M or procedure code. No modifier is necessary since the pt isn't in a global period with your group.

The 55 modifier is for a completely different scenario then you are describing.

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Aug 22nd, 2011 - TerryC 39 

re: I need help please Follow-up during global period

Thank you

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