What is included in the 90 day global period?
Major surgical procedures (90-day global period) There is one day of preoperative care so the global period starts the day prior to the surgery. Care on the day of the surgery is included in the global period unless the decision to perform the surgery was made during the visit on this day. (See modifier -57).
Where do I find global days for CPT codes?
You can find global periods for all CPT® codes using AAPC Coder or other encoder software, or in the CMS Physician Fee Schedule Relative Value File.
What can be billed during the global period?
A global period is a period of time starting with a surgical procedure and ending some period of time after the procedure. Many surgeries have a follow-up period during which charges for normal post- operative care are bundled into the global surgery fee.
What modifier do you use for global period?
Modifier 58 is appended to a subsequent staged, anticipated, or more extensive surgical procedure during the global period. This modifier typically is appended to a subsequent surgical procedure when the disease process requires additional surgical intervention for management of the entire condition.
What modifier is used for global period?
How do you code cataract surgery?
For purposes of this measure, only the following CPT cataract surgery codes should be used:
- 66982: Cataract surgery with insertion of intraocular lens, complex.
- 66983: Cataract surgery, intracapsular, with insertion of intraocular lens.
- 66984: Cataract surgery, extracapsular, with insertion of intraocular lens.
What is not included in the global surgical package?
Services not included in the global surgical package and may be reported separately include certain supplies such as splints, casting materials and other devices used to treat fractures, immunosuppressive therapy for organ transplants, critical care services, diagnostic tests and procedures, including diagnostic …
What’s included in the global surgical package?
The global surgical package concept includes the pre-operative, intra-operative and post-operative services, and are considered included in the specific CPT code. The pre-operative stage includes: Local infiltration. Metacarpal/metatarsal/digital block.
Does modifier 58 Start a new global period?
Modifier 58=The global period restarts with the subsequent procedure, and the surgeon should receive 100 percent of the allowable reimbursement on both the first and the subsequent procedures.
How should CPT codes 11400 (excision of benign lesion) be billed?
How should CPT or HCPCS codes such as 11400 (excision of benign lesion) be billed when they are performed on both sides of the body and are not CMS bilateral eligible? A: An excision of a lesion is not truly bilateral. It should be billed with units, rather than the bilateral modifier.
What is the 90-day global period for cataract surgery?
During this 90-day global period, you may need to perform additional procedures or services unrelated to the cataract surgical event. For example, the patient may develop conjunctivitis in the other eye.
What is the size of a 11402 lesion?
11402 – Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 1.1 to 2.0 cm 11403 Excision, benign lesion, except skin tag (unless listed elsewhere), trunk, arms or legs; lesion diameter 2.1 to 3.0 cm
Is coding and billing for post-op cataract care difficult?
Comanagement and billing for post-op cataract care—especially for patients who receive presbyopia-correcting IOLs—can be problematic. Coding and billing for services rendered to postsurgical cataract patients continues to raise issues in many optometric offices.