tci ED Coding & Reimbursement Alert - 2007 Issue 7

You Be the Coder: Mind Your Modifiers on E/Ms During Global Periods

Question: The ED physician performs incision and drainage on a patient's forearm carbuncle. Four days later, the patient returns with a severe headache and neck pain. The physician examines the patient consistent with a level-four service and sends him home. Can I report both of these services, or is the second visit considered part of the global surgical package?Michigan SubscriberAnswer: You-ll be able to report the second service with an E/M code because the E/M visit was for a problem unrelated to the earlier incision and drainage. Because the second visit occurred within the global period of the...

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