The classification XXX means that the service is completely free of global surgical bundling issues while the 000 indicator applies to the date of the procedure only.
The Centers for Medicare and Medicaid (CMS) has changed the global periods for both 51736 and 51741 from 000 to XXX in this year's January release of the Medicare Physician Fee Schedule. The agency drastically brought down the payment you get for both simple and complex uroflowmetry for this year. However in doing that they put the code in the category of 'global concept doesn't apply'.
Remember: The change to XXX applies to the global codes - 51736 and 51741 – as well as their Professional Component (PC) and Technical Component (TC). This means that whether you bill 51736/51741, 51736/51741-26 or 51736/51741-TC, there is no global period related with these flow rate size.
XXX versus 000
Even though both XXX and 000 global periods appear free of global bundling issues, you should know that there's a distinct difference between these two.
The classification XXX means that the service is completely free of global surgical bundling issues, and you can separately report services that your urologist carries out on the same day as the surgical procedure.
The value of this global period has always meant that the global concept does not apply to the procedure. Its value has always meant that the global concept does not apply to the procedure.
While the 000 indicator applies to the date of the procedure only. As such, Medicare will bundle all services that the physician carries out on that surgery date into codes with this indicator. On the other hand, 000 is for endoscopic procedures or minor procedures. If you have a code with a zero day global period make sure you include related pre operative and post operative care on the day of the procedure only.
Here's how other global periods function: Key surgical procedures covers a 90-day global period while lesser surgical procedures may include a global period of 10 days.
What you need to remember: The YYY global period to unlisted procedures only to unlisted-procedure codes and points to the fact that the payer is free to determine a global period for the procedure. The ZZZ designation denotes an add-on procedure for which the global period is covered in the primary procedure.
Here's what you should do: You should verify your payers' policies before you code your next claim. For more global-period information, go to the Medicare Fee schedule database available at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html?redirect=/PhysicianFeeSched/
The Centers for Medicare and Medicaid (CMS) has changed the global periods for both 51736 and 51741 from 000 to XXX in this year's January release of the Medicare Physician Fee Schedule. The agency drastically brought down the payment you get for both simple and complex uroflowmetry for this year. However in doing that they put the code in the category of 'global concept doesn't apply'.
Remember: The change to XXX applies to the global codes - 51736 and 51741 – as well as their Professional Component (PC) and Technical Component (TC). This means that whether you bill 51736/51741, 51736/51741-26 or 51736/51741-TC, there is no global period related with these flow rate size.
XXX versus 000
Even though both XXX and 000 global periods appear free of global bundling issues, you should know that there's a distinct difference between these two.
The classification XXX means that the service is completely free of global surgical bundling issues, and you can separately report services that your urologist carries out on the same day as the surgical procedure.
The value of this global period has always meant that the global concept does not apply to the procedure. Its value has always meant that the global concept does not apply to the procedure.
While the 000 indicator applies to the date of the procedure only. As such, Medicare will bundle all services that the physician carries out on that surgery date into codes with this indicator. On the other hand, 000 is for endoscopic procedures or minor procedures. If you have a code with a zero day global period make sure you include related pre operative and post operative care on the day of the procedure only.
Here's how other global periods function: Key surgical procedures covers a 90-day global period while lesser surgical procedures may include a global period of 10 days.
What you need to remember: The YYY global period to unlisted procedures only to unlisted-procedure codes and points to the fact that the payer is free to determine a global period for the procedure. The ZZZ designation denotes an add-on procedure for which the global period is covered in the primary procedure.
Here's what you should do: You should verify your payers' policies before you code your next claim. For more global-period information, go to the Medicare Fee schedule database available at http://www.cms.gov/Medicare/Medicare-Fee-for-Service-Payment/PhysicianFeeSched/index.html?redirect=/PhysicianFeeSched/
No comments:
Post a Comment