Wiki G0559

jeskla

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Does anyone know if this would apply to fracture care codes (with manipulation) where the patient was not taken to the OR? I wasn't sure if this code applied to all codes with a 90 day global period or only after operating room procedures. It states "post operative" in the code description so I am thinking no.

G0559Postoperative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable:
 
Does anyone know if this would apply to fracture care codes (with manipulation) where the patient was not taken to the OR? I wasn't sure if this code applied to all codes with a 90 day global period or only after operating room procedures. It states "post operative" in the code description so I am thinking no.

G0559Postoperative follow-up visit complexity inherent to evaluation and management services addressing surgical procedure(s), provided by a physician or qualified health care professional who is not the practitioner who performed the procedure (or in the same group practice) and is of the same or of a different specialty than the practitioner who performed the procedure, within the 90-day global period of the procedure(s), once per 90-day global period, when there has not been a formal transfer of care and requires the following required elements, when possible and applicable:
Everything I have seen only mentions 90-day global procedures, no requirement of only OR procedures, not used for 0- or 10-day global procedures.
 
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