‘Destruction’ Codes, Global Periods, Working with Provider Representatives, and Denial of G0431-QW

DAVID STERN, MD (Practice Velocity) Q. Our physician did a shave excision and sent it to pathology. It came back as malignant. She now wants to bill using the destruction codes of 17260-17286. We coders are trying to tell her that she needs to bill for the shave excision, because she documented clearly that she performed shave excision. What is the correct way to bill for this procedure? Name withheld A. Per CPT Assistant 2009: …

Read More

Modifiers for E/M Codes During Global Periods

Q. What is the official definition of “global period” as it applies to procedures in the urgent care center? When can we code an E/M in addition to the procedure? A. The actual definition of the global period differs slightly when it is defined by the AMA (CPT) and when it is defined by CMS (Medicaid/Medicare). CPT codes are published and copyrighted by the AMA. According to CPT as it applies to services rendered in …

Read More