decisionhealth Newsletters, Part B News - 2018 Issue 1 (January)
When your PA indicates surgery, stick to global-period timelines to code correctly
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Article Overview
This premium coding article addresses preoperative office visits, physician assistant encounters, and the timing rules tied to surgical decision-making under global-period billing policies. It is aimed at coders, billers, and practice staff who need to understand when evaluation and management visits related to surgery may be reportable and how modifier usage fits into that workflow.
Why This Topic Matters
Correctly distinguishing reportable visits from preoperative package services affects compliant billing and claim accuracy. The article helps readers understand how timing, encounter sequence, and surgical scheduling interact in perioperative coding.
What You Will Learn
- How preoperative visits are evaluated in relation to surgical scheduling
- How physician assistant encounters can affect reportability of later physician visits
- How timing under global-period policy impacts whether a visit is separately billable
- How modifier use relates to the decision for surgery context
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Physician assistants
- Physicians
Modifiers Discussed
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