|Michael F. Easley, Governor
Buck Lattimore, Chairman
|Bernadine S. Ballance,
Thomas J. Bolch, Commissioner
Laura K. Mavretic, Commissioner
Renée C. Riggsbee, Commissioner
Christopher Scott, Commissioner
Dianne C. Sellers, Commissioner
Workers’ Compensation Carriers, Third Party Administrators, Self-Insured
Employers and Medical Bill Processors; and All Workers’ Compensation
Gudac, Chief Medical Fee Examiner
|DATE:||June 21, 2002
|SUBJECT:||Surgery Fees and Proper Guidelines for Applying the Global Period|
memo is to clarify the North Carolina Industrial Commission Medical Fee Schedule
guidelines to surgical global fees. The surgical global period includes the
actual surgery and any hospital or office visits related to uncomplicated
follow-up care for the surgery within the global time limit. The surgical global
period does not include postoperative complications (i.e., bleeding or
infections) or unrelated services (i.e., services by another specialty).
bill processors should exercise caution when using the global period to deny
charges, especially when processing bills from larger provider heath centers
that are rendering medical services from multiple specialties.
to modifiers used by the providers will help identify complications and
unrelated services, and ensure that providers are reimbursed for these services.