Home | 1/24/2011 Issue | Article

Ask a Part B News Expert: Billing for suture removal as part of lesion removal

Effective Jan 20, 2011
Published Jan 20, 2011

We have a physician doing lesion removals and having the patient come back two weeks later to bill for the service. Minor lesion removals have a 10-day global. The patient is coming back after the end of the global window, but it is still suture removal and seems like it should be part of the global. The provider insists on billing, because it is outside of the global time window as it is outside the global. What can I show the provider to prove is not a billable service?

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