An Overview of Global Surgery & Surgery Coding Guidelines
Physicians, nurse practitioners and physician assistants in many specialties perform procedures in the office, surgery center or hospital. The payment for procedures includes some pre-op and post-op work, done by the clinician. There are instances, however, when E/M services may be billed for an initial evaluation for a minor procedure and when E/M services may be billed in the post-op period. Knowing when to bill for these and when these E/M services are included in the global surgery payment is imperative. Surgeons and coders also need to know how to bill for additional surgical services in the post-op period. This guide from CodingIntel explains surgery coding guidelines and the global period for CPT codes.
Global Period for CPT Codes
Knowing the surgery coding guidelines related to procedures is essential to ensure practice revenue and for submitting claims that are compliant with CPT and CMS rules.
Download the Global Surgery Billing Guide below to learn more! And, see our complete list of in-depth billing guides.Table of contents
Definition of global package
Medicare fee schedule
Bundling and NCCI
Initial evaluations prior to minor procedure
E/M and procedure of the same day
Initial evaluations prior to major procedure
Pre op evaluations
Post op evaluations
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Betsy Nicoletti, Revised 12/10/2018