AMA CPT® Assistant - 2016 Issue 11 (November)

Coding Brief: Reporting Code 40650 in the Emergency Department (November 2016)

November 2016 page 7 Coding Brief: Reporting Code 40650 in the Emergency Department Current Procedural Terminology (CPT®) code 40650, Repair lip, full thickness; vermillion only, has a 90-day global period assigned by the Centers for Medicare and Medicaid Services (CMS). Although this procedure is often performed in the emergency department (ED) by emergency physicians, it is not typical for the ED physician to provide the full 90-day global follow-up patient care, which typically includes three office visits. If ED physicians or other providers in the ED setting are not planning to provide the follow-up care, which is included...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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