E/M Coding Alert - 2011 Issue 23
Part B Coding Coach: Avoid Giving Care Away for Free During Global With These Quick Tips
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Article Overview
This premium coding article explains how postoperative and perioperative services can be handled when care is shared, transferred, or interrupted during a surgical global period. It is aimed at coders, billers, and physician practices that need to understand broad global-package concepts, coordination between providers, and when certain modifier categories may apply. The discussion also includes a coding example and a separate postoperative return-to-OR scenario.
Why This Topic Matters
Understanding global-period billing helps practices avoid missing reportable services and supports more accurate claims when multiple physicians share care or when a patient returns for related follow-up treatment.
Article Sections
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Know the Global Period Parameters
Explains the general timing framework associated with a surgical global period and describes the broad types of services commonly included across the preoperative, intraoperative, and postoperative timeline.
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Pay Attention to the Partial Payments
Covers shared or split components of surgical care and the modifier categories discussed for situations where different providers handle different portions of the service. Includes a brief example involving a surgical code and postoperative follow-up by another provider.
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Medicare Requires Return to OR for Postop Payment
Describes the general distinction between unplanned related returns to the operating room and other postoperative return scenarios. Also addresses the broader criteria discussed for planned or staged follow-up procedures during the global period.
What You Will Learn
- How surgical global periods are framed in relation to preoperative, intraoperative, and postoperative services
- How shared care between providers is discussed in the context of surgical billing
- How return-to-operating-room scenarios are categorized at a high level
- What kinds of situations are associated with the modifier topics covered in the article
Who Should Read This
- Medical coders
- Billing staff
- Physician practice managers
- Surgeon office staff
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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