tci ED Coding & Reimbursement Alert - 2003 Issue 2

The Global Surgical Package Unwrapped

Questions about the global surgical package keep coming in from emergency department coders: May I bill a starred procedure with an E/M code? How many global days does a laceration have? Is an infected wound included in the global surgical package? Here's a comprehensive, straightforward answer to your global surgical inquiries. For starters, the global surgery rules prohibit a separate reporting of an E/M service when it is part of the normal preparation for surgery or the postprocedure recovery process, says James Blakeman, senior vice president of Healthcare Business Resources in Bala Cynwyd, Pa. CPT: Starred versus Nonstarred Procedures...

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