tci Part B Insider - 2014 Issue 12

Part B Mythbuster: Make Your Global Period X-Ray Claims Picture Perfect

Find out when to apply modifier 76. Myth: X-rays that you shoot or interpret during the global period are not billable to Medicare because payers include these charges in the surgical package. Reality: Practices that don’t bill their x-ray charges are throwing away thousands of dollars in rightful reimbursement. Scenario: An established patient reports to your office with pain, swelling, and tenderness of the left wrist and forearm. The physician diagnoses the patient with a buckle fracture of the wrist, which he stabilizes with a splint before sending the patient home. The patient returns four weeks later and...

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