Medicare Compliance & Reimbursement - 2002 Issue 2
Coding Outside the Box Whats in a Global Package
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Article Overview
This article is a coding-focused discussion for emergency department professionals on how global surgical package concepts affect reporting and reimbursement. It reviews the kinds of services commonly included in a surgical package, contrasts them with services that may be separately reportable, and explains the role of CPT guidance, Medicare reference material, and select modifier usage in ED scenarios. The piece also addresses starred procedures and why certain CPT visit coding concepts do not apply in the emergency department setting.
Why This Topic Matters
Correctly recognizing what is included in or excluded from a global surgical package can affect whether emergency department services are billed appropriately and whether potentially payable services are overlooked.
Article Sections
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Global surgical package basics
Introduces the concept of global surgical packages and summarizes the general types of services discussed in CPT guidance and Medicare reference material.
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Separately reportable services during the postoperative period
Explains the broader categories of services that may fall outside the global package in emergency department settings, including postoperative-period and diagnostic considerations.
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Modifier use with ED visits
Discusses how ED visit reporting may interact with postoperative or same-day services and the modifiers referenced in that context.
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Examples involving postoperative or unrelated ED encounters
Presents scenarios used to illustrate how different emergency department encounters relate to surgical periods and separate reporting considerations.
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Reporting starred procedures
Covers CPT starred procedures and how they are treated differently from procedures normally subject to global package bundling.
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Special E/M code doesn't apply
Addresses a CPT visit code concept that is described as not applicable in the emergency department setting.
What You Will Learn
- How global surgical package concepts are presented in CPT and Medicare guidance
- Which broad categories of services are discussed as part of or outside the global package
- How emergency department visit reporting can interact with postoperative or same-day services
- What starred procedures are and why they are treated differently in the article
- Why a specific CPT new-patient visit concept is described as not applying in the ED
Who Should Read This
- Emergency department coders
- Physician coders
- Coding and billing staff
- Revenue cycle professionals
- Compliance and reimbursement staff
Codes Discussed
Modifiers Discussed
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