tci Outpatient Facility Coding Alert - 2019 Issue Q3

You Be the Coder: Channel Global Surgery Guidelines for Postop Within Global Period

Question: A patient presents for a follow-up visit two weeks following a total thyroidectomy. The physician performs a flexible laryngoscopy to check the status of the vocal cords and larynx. Can I bill for the flexible laryngoscopy? Texas Subscriber Answer: The global period for 60240 (Thyroidectomy, total or complete) is 90 days. In order to determine whether the follow-up laryngoscopy is separately billable, you’ll want to have a look at the Global Surgery Booklet. On page 6, the Center for Medicare and Medicaid Services (CMS) lays out all the services that are included in the global surgery period...

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