JUN 09, 2023
Insurance Changes During Global Period
If a patient with commercial insurance has pterygium surgery, then six weeks into the post-op period they transition to Medicare Part B, do we keep the same post op period or bill for follow-up visits?
Answer:The global period should continue per the original insurance payment. You should not bill for related office visits and medically necessary tests or procedures would not need modifiers. The new insurance would not be aware of the previous surgery and would deny services billed with any additional modifiers.