Medicare Compliance & Reimbursement - 2009 Issue 14
Reader Question: Know When to Bill Visits After Global
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Article Overview
This reader Q&A explains general billing considerations for follow-up office visits occurring after a surgical global period. It is aimed at coders and billing staff who need to understand postoperative E/M reporting, when a modifier may be relevant, and how complication-related diagnosis coding can support unusual follow-up patterns. The article also discusses scheduling-related timing concerns that can affect whether a visit is considered part of the global period.
Why This Topic Matters
Postoperative visit reporting can affect claim accuracy, bundling, and payment after a procedure. This article helps readers distinguish routine follow-up from separately reportable encounters and recognize when global-period timing and documentation issues may draw payer scrutiny.
What You Will Learn
- How postoperative office visits after a global period are generally handled
- When modifier use may be relevant for visits during a postoperative period
- Why documentation and diagnosis coding can matter when follow-up visits are frequent
- How scheduling circumstances can affect whether a visit falls inside or outside the global period
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physician practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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