Wiki Post Surgery X-Ray question

[TraciP1968]

Hello!

I am new on here. I am in my last semester of college and am interning at a podiatrists office. The physician wants to know if he can get paid for a post surgical x-ray and if so how to go about it. The other worker at the office says if he tries to report the x-ray it will get denied. From what I have read so far is that the x-ray is not included in the global period and he should be able to report and get paid for it. Do I need to append any modifier to the x-ray code. Also want to add that he was the one who performed the surgery and is doing the aftercare. Anybody help please. I can't find the answer anywhere and thought I would try here. I will be taking my cpc exam in August.

 

[Orthocoderpgu]

X-rays taken during the global days are not bundled with the surgery. Just bill them out normally with -RT or -LT modifier.

 

[VoitChromy]

Yes they are definitely payable with LT or RT modifier. Not part of the global package

 

[thomas7331]

Agree with the responses above, x-rays are not a part of the global payment.
Here is a very helpful reference booklet from Medicare about the global surgery package:

https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/GloballSurgery-ICN907166.pdf

See page 5-6 for a complete listing of what is and is not included in the global surgery payment.

 

[TraciP1968]

Thank you, you have been very helpful!