tci Medicare Compliance & Reimbursement - 2013 Issue 12

Reader Question: Preexisting vs. New Matters During Global Periods

Question: If I see a patient after his radical prostatectomy within the global period, and I evaluate and manage his incontinence and ED, can I bill a separately identifiable E/M within the global period? Or, would this be considered included in the global period? Answer: The answer will depend upon whether your patient had the incontinence and erectile dysfunction (ED) prior to his prostatectomy or if these problems are complications of the prostatectomy, says Alice Kater, CPC, PCS, coder for Urology Associates of South Bend, Ind. If these are past conditions, and you have clear documentation that incontinence and...

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