tci General Surgery Coding Alert - 2022 Issue Q3
Reader Questions: Follow ‘Global Package’ Billing Requirements
Question: When a surgeon sees a patient and schedules a surgery, can we bill another E/M visit when the patient comes back the day before surgery for a pre-op check in, even though nothing has changed in the patient’s situation since the first encounter? Mississippi Subscriber Answer: The answer may depend on the payer. For payers such as Medicare that have “global surgery” guidelines, you must bundle certain services before and after the surgery based on the rules for the appropriate global period. Under Medicare rules, once the provider makes the decision for surgery, you should not...
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