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tci ED Coding & Reimbursement Alert - 2015 Issue 11

Reader Question: Check The Global Period Before Reporting A Follow Up Visit On Laceration Repair

Question: We saw a patient with a laceration that was repaired using a simple single layer technique, but two days later that same patient returns with an infection.  Would this still falls under the global period and is not separately billable? South Carolina Subscriber Answer: If you’re working with a payer who follows Medicare’s global days, many services rendered after the day of the simple repair procedure, may be separately reportable.  Modifier 24 (Unrelated evaluation and management service by the same physician or other qualified health care professional during a postoperative period) may be requested...

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