Medical Billing Forum
Billing => Billing => : mimranbilling July 06, 2021, 12:14:05 PM
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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)
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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.