tci Part B Insider - 2013 Issue 27

Reader Question: Get A Handle on Global Period

Question: A patient comes in and has 17 lesions treated. I see that 56501 has a global classification of 10 days. Unfortunately, the ob-gyn is going out of town and has the patient returning before she leaves (seven days after the first treatment). The ob-gyn re-evaluates and decides more cryo is needed for missed lesions. Is this still part of the global period? Answer: No, the second bout of cryotherapy would not be part of the global period. You should report 56501 (Destruction oflesion[s], vulva; simple [e.g., laser surgery, electrosurgery, cryosurgery, chemosurgery]) with modifier 76 (Repeat procedure or...

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