ED Coding and Reimbursement Alert
Map Out How To Report A Global Service Component From a Second Physician
Question: One of our ED physicians removed nasal packs (patient had them put in at the same hospital by a different doctor). The physicians belong to the same ED group. Is there a code for the nasal pack removal? It’s not a foreign body, so I am unsure. The packing was put in by the ER doctor. Patient came to us as a new patient for the removal. I think is removal is part of the initial service, my thought is, if the doctor put in the nasal packing, he cannot bill for the removal. How about if it is a different doctor?
Florida Subscriber
Answer: In the scenario where a patient comes in for follow up on a global code and you did not perform the original service, an E/M code is usually the best way to report that follow up service. If the packing was placed by the same ED group then it would likely fall into the construct of typical post-operative care. Keep in mind that depending on the initial procedure (such as treatment for epistaxis) there could be a 0 day global period. So check your initial service and make sure you are outside of the global period and it is not part of typical care.
ED Coding and Reimbursement Alert
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