New CMS Requirement For Follow-Up Visits

New CMS Requirement For Follow-Up Visits

Reporting code 99024 during the surgical global period of select procedures

 CMS recently began sending out letters to medical practices informing them of a new mandate (beginning 7/1/17) to report code 99024 for follow-up visits performed within the “global period” of certain surgical procedures. This requirement applies only to groups of 10 or more practitioners within the following 9 states: FL, KY, LA, NV, NJ, ND, OH, OR, and RI.

A “global period” is defined as the number of days associated with a particular surgery that includes “all necessary services normally furnished by a surgeon before, during, and after a procedure, and includes the preoperative, intra-operative, and post-operative services routinely performed”. All surgical procedures have a designated global period value of “0”, “10”, “30”, or “90” days for this purpose.

Such global periods do not apply to anesthesia, but they do apply to some interventional chronic pain procedures, such as intrathecal pain pumps, spinal cord stimulators, and facet rhizotomies. CMS will be monitoring the reporting of code 99024 and will be reevaluating the global payment package for these procedures.

If your practice does not perform any interventional pain procedures, or resides in a state other than one of the nine mentioned above, you can disregard this notice. However, if your practice does perform these procedures and is in one of above-mentioned states, you will need to incorporate code 99024 into your charge sheet or legal medical record to inform Medac that a non-billable follow-up visit has occurred. Medac will submit these cases with a “zero charge” for information purposes only, when received.

Attached is an article from the ASA that provides further insight into this new requirement. Please contact your Medac practice manager if you have any questions.

*This is an update to Medac’s 2017 Chronic Pain Alert, originally published on 12/28/17.