Author Topic: IRC Procedure & Bandings  (Read 732 times)

mimranbilling

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IRC Procedure & Bandings
« on: July 06, 2021, 12:14:05 PM »
Hi Everyone,

Can anyone please tell me how do you get paid within the global period of IRC (infrared coagulation) procedure of 90 days for follow up bandings which physician performs every 2 weeks after IRC procedure? Do you use a special modifier or how exactly you handle this scenario?

Thank you

IRC CPT Code = 46930 (Global Period 90 Days)
Banding CPT = 46221 (Global Period 10 days)

kristin

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Re: IRC Procedure & Bandings
« Reply #1 on: July 07, 2021, 01:24:35 AM »
If the bandings are a direct result of the IRC, then I don't see how you can bill/get reimbursed for them, as they would fall within the global of the IRC. Depending upon the insurance, the bandings would have to fall outside of "routine/normal post-operative care" to be reimbursed.

Medical Billing Forum

Re: IRC Procedure & Bandings
« Reply #1 on: July 07, 2021, 01:24:35 AM »