E/M Coding Alert - 2007 Issue 30
READER QUESTIONS: You Can Always Bill Diagnostic Tests After A Surgery
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Article Overview
This reader Q&A discusses Medicare global surgical package basics for major procedures and focuses on whether diagnostic services remain separately payable during the global period. It is aimed at cardiology and surgical coding professionals who need to understand how postoperative billing is handled for diagnostic tests, related visits, and device-related services under Medicare guidance.
Why This Topic Matters
Understanding what is and is not included in a global surgical package helps avoid missed reimbursement and incorrect bundling of separately payable diagnostic services.
Article Sections
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Question about diagnostic testing during the global period
A reader asks how Medicare handles diagnostic services during the postoperative period for a cardiology procedure with a global surgical package.
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Answer and Medicare global package overview
The article summarizes what the global package generally includes and notes that diagnostic services are discussed as separately covered under Medicare guidance.
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Exception involving device checks
The article notes a device-check scenario in which an electrocardiogram may be part of a broader service rather than treated as a separate diagnostic test.
What You Will Learn
- How Medicare global surgical packages are described for major procedures
- Which broad categories of services are discussed as included or excluded from the global period
- How diagnostic testing is addressed in relation to postoperative billing
- How device-related services are distinguished from separately billable diagnostic tests
Who Should Read This
- Medical coders
- Cardiology billing staff
- Physician billing managers
- Compliance staff
- Revenue cycle professionals
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