Hospital Coding for Procedures that have a 90 Day global coverage for Professional
A question has come up with the HIMS coders about some of the eye surgery codes that have a 90 global such as laser(CPT 67210) and cryotherapy (CPT 67208) for retinoblastoma cases. They have been following the 90 day global for these codes/procedures. The results in lack of charge capture on the Facility/Hospital side because the coders are not coding it as separate from the initial procedure. It has been my understanding that the 90 day global only applies to the physician claims, not the hospital claims. Can the HIMS coders code the f/u treatment separately when the patient comes back in on a separate DOS and may the hospital bill it separately on the UB?
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Yes, the Hospital side can separately bill as global does not apply to hospitals as per the NCCI Manual.