Wiki unbunling vs global

[Janet Small]

Medicaid is denying 99232 which dr saw the patient on 5/24/11 they are including it with a 44160 which was preformed on 5/23/11 as part of the global package. I thought the global included f/u office visits after the patient was discharge from the hospital. Is this right or wrong.

 

[btadlock1]

Medicaid is denying 99232 which dr saw the patient on 5/24/11 they are including it with a 44160 which was preformed on 5/23/11 as part of the global package. I thought the global included f/u office visits after the patient was discharge from the hospital. Is this right or wrong.

If it's the same physician, then it's included, even in the hospital. But, if he saw the patient for something unrelated to the surgery, then you can add a 24 modifier to the visit, and it should process. Hope that helps!

 

[FTessaBartels]

Global package

Janet
You are right that the global includes f/u visits. You are wrong in intepretting that as meaning you can bill for them. What the global period inclusion means is that you CANNOT separately charge for the F/U visits that are routine postoperative care.

Hope that helps.

F Tessa Bartels, CPC, CEMC