General Surgery Coding Alert - 2014 Issue 9
Part B Mythbuster: Don't Throw Away Thousands of Dollars
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Article Overview
This article addresses a common misconception about billing x-ray services during a surgical global period, with emphasis on fracture care, Medicare reimbursement, and guidance from coding authorities. It is aimed at medical billers, coders, and orthopaedic practices that want to understand which radiology services are generally discussed as separately reportable versus included in a global package. The discussion centers on broad billing policy concepts, follow-up imaging, and references to CPT, modifier use, and coding guidance from the Correct Coding Initiative and the American Academy of Orthopaedic Surgery.
Why This Topic Matters
Understanding how imaging services are discussed in relation to global surgical packages can help practices avoid underbilling and better recognize when radiology services are a separate revenue opportunity.
Article Sections
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Billing x-ray charges appropriately
Introduces the article’s focus on reimbursement for radiology services and the common misunderstanding about global periods.
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Bill Those Follow-Up X-Rays
Uses a fracture-care scenario to frame the discussion of follow-up imaging and separate reporting considerations.
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Global period and diagnostic service guidance
Summarizes how global package concepts are discussed for fracture care, diagnostic imaging, and related coding guidance.
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Pre- and post-reduction imaging
Addresses imaging performed around reduction and casting and notes the role of radiology coding and modifier use.
What You Will Learn
- How the article frames x-ray billing during a global surgical period
- How follow-up imaging is discussed in relation to fracture care
- Which organizations and coding resources are referenced for guidance
- How radiology services are treated in the broader context of global package billing
Who Should Read This
- Medical coders
- Medical billers
- Orthopaedic practice staff
- Revenue cycle personnel
Codes Discussed
Modifiers Discussed
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