ED Coding & Reimbursement Alert - 2016 Issue 37
Global Periods: Optometry Mythbuster: Don't Perform Surgeries? Global Periods Still Apply to You
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Article Overview
This article explains how global surgical periods can apply in optometry settings, including procedures with 10-day, 000, and XXX global classifications. It is aimed at eye care professionals and billing staff who need a general understanding of postoperative bundling concepts, related evaluation and management visits, and the importance of checking state and payer rules before reporting services.
Why This Topic Matters
Understanding global periods helps optometry practices recognize when procedure-related follow-up care may be bundled, when an unrelated visit may need special reporting, and which broad global classifications are relevant to common eye procedures.
Article Sections
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Global periods and optometry practices
Introduces the general concept of global surgical periods and why they matter in optometry settings. It also notes that state law and payer rules may affect reporting.
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Example: follow-up after punctal plug insertion
Presents a scenario involving a follow-up visit after a common eye procedure and discusses how the postoperative period affects related office services. It introduces the use of a modifier for unrelated follow-up care.
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Common procedures with 10-day global periods
Highlights additional frequently performed procedures that are associated with a 10-day postoperative period. The section explains the general impact on related evaluation and management services.
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Rules for '000' day globals
Describes the general meaning of the 000 global classification and its relationship to services performed on the date of the procedure. It includes examples of eye care procedures commonly assigned this status.
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Procedures with XXX global periods
Covers the XXX classification and its general relationship to global surgical bundling. It includes examples of eye care services commonly reported with this designation.
What You Will Learn
- How global surgical periods relate to optometry practice
- The difference between 10-day, 000, and XXX global classifications
- Why follow-up evaluation and management services may be bundled with procedures
- How general modifier concepts can affect reporting during a postoperative period
- Why state and payer rules matter when reporting certain eye care procedures
Who Should Read This
- Optometrists
- Ophthalmic billing staff
- Medical coders
- Revenue cycle professionals
- Eye care practice administrators
Codes Discussed
Modifiers Discussed
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