E/M Coding Alert - 2014 Issue 12
Part B Mythbuster: Make Your Global Period X-Ray Claims Picture Perfect
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Article Overview
This article reviews a common Part B billing misconception about x-rays during the global period and explains why certain diagnostic imaging services may remain separately reportable. It is aimed at coders, billers, and orthopedic or radiology practices that handle fracture care claims and want to understand the general guidance cited from Medicare-oriented sources and orthopedic service data guidance.
Why This Topic Matters
Accurate handling of global-period imaging claims can affect reimbursement and reduce missed billing opportunities for practices that perform and interpret diagnostic x-rays. The article highlights the broader scope of global package rules, the role of diagnostic services, and the use of cited coding references in orthopedic fracture care scenarios.
Article Sections
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Myth and reality
Introduces the billing misconception addressed in the article and contrasts it with the general reimbursement guidance discussed later.
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Scenario
Presents a fracture-care office visit example involving follow-up imaging during the course of treatment.
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Bill Those Follow-Up X-Rays
Discusses follow-up imaging in the context of fracture care, global period concepts, and diagnostic service reporting.
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Global period and diagnostic services
Summarizes broader guidance on what is and is not included in a global package and references professional and coding resources.
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Pre- and post-reduction x-rays
Covers imaging performed around reduction and casting and notes the coding reference used for post-procedure imaging.
What You Will Learn
- How the article frames x-ray billing within a global period
- Why follow-up diagnostic imaging may be treated differently from surgical package services
- Which types of guidance sources are referenced for fracture care and orthopedic claims
- How the article distinguishes intra-operative imaging from other diagnostic x-rays
Who Should Read This
- Medical coders
- Medical billers
- Orthopedic practices
- Radiology practices
- Revenue cycle staff
Codes Discussed
Modifiers Discussed
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