Medicare Compliance & Reimbursement - 2009 Issue 35
READER QUESTION: Know When You Can Report Visits After Global
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Article Overview
This article is a reader question-and-answer about billing and coding for follow-up office visits after a procedure with a short global period. It discusses the general circumstances under which postoperative evaluation and management services may be reported, when an additional modifier may be considered, and why payers may scrutinize unusually frequent follow-up care. The piece also notes the importance of supporting documentation and diagnoses when postoperative visits extend beyond what is typically expected. It is aimed at coders, billers, and practices that manage postoperative claims.
Why This Topic Matters
Correctly distinguishing included postoperative care from separately reportable follow-up visits affects claim accuracy, denials, and compliance. The article helps readers understand when payers may question multiple visits and why supporting clinical and diagnostic documentation matters.
What You Will Learn
- How postoperative follow-up visits are generally considered after a short global period
- When separate evaluation and management services may be relevant
- Why documentation and diagnosis support matter for unusual follow-up patterns
- What kinds of claim scrutiny can arise from additional postoperative visits
Who Should Read This
- Medical coders
- Medical billers
- Physician practices
- Revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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