tci Medicare Compliance & Reimbursement - 2011 Issue 13
Part B Coding Coach: Avoid Giving Care Away for Free During Global With These Quick Tips
Subscribe or sign in to view the full article.
Article Overview
This premium coding article focuses on Medicare Part B surgical global period billing. It is written for coders, billers, and physicians who need to understand how postoperative services, split-care arrangements, and return-to-operating-room situations are handled during the global period. The article covers broad guidance on identifying included services, recognizing when separate providers share components of care, and distinguishing general categories of return-to-OR circumstances.
Why This Topic Matters
Correctly recognizing what is included in the surgical global period helps avoid missed reimbursement and prevents inappropriate billing for services that should be separated or shared among providers. It is especially relevant for practices that manage postoperative follow-up, transfers of care, or repeat procedures after surgery.
Article Sections
-
Know the Global Period Parameters
Explains the general time frame of the surgical global period and the types of perioperative and postoperative services that may be considered part of it. The section addresses broad timing concepts and routine care included around surgery.
-
Pay Attention to the Partial Payments
Discusses split responsibility for surgical care among multiple providers and the use of modifiers associated with partial components of the global surgical package. It also covers coordination of care and reimbursement considerations at a high level.
-
Medicare Requires Return to OR for Post-op Payment
Reviews general return-to-operating-room situations during the postoperative period and how different categories of repeat procedures are distinguished. The section focuses on broad scenarios involving related postoperative care and planned versus unplanned returns.
What You Will Learn
- How the global surgical period frames preoperative, intraoperative, and postoperative care
- How shared surgical care among providers is described in Part B billing guidance
- How postoperative return-to-operating-room scenarios are categorized at a high level
- What kinds of topics are involved when a procedure occurs during the global period
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Practice managers
- Neurosurgery and surgical office staff
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Thank you for choosing Find-A-Code, please Sign In to remove ads.


Quick, Current, Complete - www.findacode.com