tci General Surgery Coding Alert - 2003 Issue 10

Billing 'Starred' Procedures: Report E/M Services During Global Periods to Boost Payment

What if you could bill for services, such as follow-up E/M care, that are part of global surgical packages? When billing so-called "starred" procedures for payers that observe CPT guidelines, you can do just that - which can mean more reimbursement for your surgery practice. Look for the '*' Before You Bill When reporting starred procedures, you may appropriately charge separately for services normally included in the global surgical package for some payers, even though coders are constantly warned against it. Starred procedures describe and include only the surgical procedure as described by the CPT definition. "Associated pre- and...

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