tci ED Coding & Reimbursement Alert - 2002 Issue 2

Coding Outside the Box Whats in a Global Package

For many emergency department coders, "What comprises a global surgical package?" is the $64,000 question. Understanding what is and isn't included in the payment for a primary procedure can make a tremendous difference in the bottom line. In CPT 2002, the AMA defines the components of a surgical package more clearly. Within the notes explaining surgical guidelines in the 2002 manual (page 43 of the Professional Edition), CPT outlines which services are always covered within the global service:   local infiltration, metacarpal/metatarsal/digital block or topical anesthesia  subsequent to the decision for surgery, one related E/M encounter...

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