tci E/M Coding Alert - 2016 Issue 2

Reader Question: POS Won't Eliminate Global Period

Question: Does the global period of a surgical procedure, such as 11642, apply when a non-surgeon does the procedure in a primary care office? We have a certified family nurse practitioner (FNPC) who is insisting that “she does not bill global procedures as a surgeon’s office does.” Does the 11642 have to be performed by a surgeon for the global period to apply? Supercoder Subscriber Answer: No, a procedure does not have to be performed by a surgeon or in a certain place of service for the global period to apply. Code 11642 (Excision, malignant lesion...

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