![]() This even applies to the global period for definitive fracture care. In the case of fractures, however, some follow-up care (i.e., x-rays, cast supplies, and cast reapplications and modifications) is not included in the global care. Each of these visits would be coded with code 99058, which has no associated reimbursement. If course, in some cases the patient does require multiple visits during the global period. In the case that you describe, would packing and repacking during the global period for the I&D would be included in the global package. 26720: Fracture finger (when definitive care is performed), 90-day global period.12001: Simple laceration repair, 10-day global period.96372: IM injection, 0-day global period.Examples of procedures and their associated global periods include: This global period includes much of the follow-up care during that global period. Every procedure code has an associated global period.Scott Cooney, Bellevue Urgent Care, Greater Omaha Area, NE How do we code for multiple visits for repeat procedures – for example, when a patient makes several daily clinic visits for removal of packing and repacking of the abscess after an incision an drainage (I&D) of the abscess? Ear wick insertion is included in the E/M service, and performing this service does not alter the algorithm for calculating the E/M code.Ī. Again, CPT and CMS consider insertion and/or removal of an ear wick(s) as a minor procedure that is not separately reported with a CPT and HCPCS code. Do you know if there is another code that we should use for an ear wick?Īdam Walker, Physicians Care, Chattanooga, TN Q. I’ve looked it the 2009 CPT code book, and this code is listed under reconstruction auditory canal and is an unlisted procedure, external ear. When one of our providers places an ear wick, they write in the code 69399. It is included in the E/M service, and performing this service does not alter the algorithm for calculating the E/M code.Ī. CPT and CMS consider cleansing a wound to be a minor procedure that is not separately reported with a CPT or HCPCS code. Misha Doctor, Nason Medical Center, Charleston, SC Q. What is the best code to use when we do not repair a laceration and are just cleaning a scrape or contusion? Of course, the code that you use should not be based on reimbursement levels rather, the code should correlate with the specific service that has been provided. When it comes to actual reimbursement, fee schedules are set by payors, so you will need to check with each payor to determine the fee schedule rate for each code. ![]() Any payor, however, may choose to deny a code, based on a contract with the provider or individual payor policies. In general, place of service should not change whether it is appropriate or not to administer the vaccine. Patients may use urgent care centers when they have difficulty getting timely appointment for an immunization with a primary care physician. Lynn Gray, Eastern Hills Medical Billing, Cincinnati, OHĪ. A sales rep has stated that urgent care centers are now administering DTaP in urgent care, and, if so, what is the difference between the reimbursement of the Td (90714) and the DTaP (90715)? ![]() An urgent care that I do billing for has presented a question I would like your input on.
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