tci General Surgery Coding Alert - 2000 Issue 1

Documentation and Modifiers Key When Billing Transfer of Care

Because most surgeries have a built-in global period that includes postoperative procedures in the fee for the original surgery, getting reimbursed for providing such post-op services for a patient whose procedure was performed by another surgeon can be difficult. But complete communication between the surgeons offices is the key to getting paid for providing post-operative care to such patients.The global period is supposed to apply only to routine follow-up after surgery, though some private payers interpretations may be considerably broader. Routine follow-up typically means managing the patients recovery from surgeryfor example, making sure the wound heals without infectionnot...

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