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.

Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

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

  1. 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.

  2. 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.

  3. 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

  • CPT: 62120
  • CPT: 54
  • CPT: 55
  • CPT: 56
  • CPT: 58
  • CPT: 78

Modifiers Discussed

  • CPT: 54
  • CPT: 55
  • CPT: 56
  • CPT: 58
  • CPT: 78

Subscribe or sign in to view the full article.

Keep pace with evolving Medicare regulations — and onboard your team — with timely analysis of critical updates interpreted in an easy-to-follow, easy-to-apply format. Your subscription to TCI's Medicare Compliance & Reimbursement Alert will equip you to navigate code and guideline changes, CCI edits, and revisions to modifiers, payer policies, the fee schedule, OIG target areas, and more.

  • Current newsletters added each month
  • Fully searchable archives - over 4200 articles
  • ALL years/issues back to 2003 organized by year and issue
  • Codes mentioned in articles are linked to Code Information pages
  • Code Information pages link back to related articles

This feature is currently unavailable for online purchase. For more information, please call 801-770-4203 or Contact Us.

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?