sharlowm
New
I have a gyn oncologist/surgeon who feels that it is appropriate to bill an E/M within the global period of a gyn surgery related to cancer...she tries to take it as a time based level, documents total time spent, that more than 50% was spent counseling and that she discussed pathology, prognosis, future treatment etc.
I was operating under the belief that this still falls under the global for the surgery and is non-billable since it relates to the same dg as the surgery, ie gyn cancer, as well as the fact that you would expect the post op visit to include some of that discussion anyway..
Am I missing something? Aside from the published rules for what's included in the global period, does anyone have anything in writing about this that may clarify?
thanks!
I was operating under the belief that this still falls under the global for the surgery and is non-billable since it relates to the same dg as the surgery, ie gyn cancer, as well as the fact that you would expect the post op visit to include some of that discussion anyway..
Am I missing something? Aside from the published rules for what's included in the global period, does anyone have anything in writing about this that may clarify?
thanks!