Ophthalmic Coding Specialist Practice Test

Are injections given in the office during the global period paid for, specifically for injections of 5 FU?

1. Yes, always

2. No, never

3. Yes, but only with an office visit

4. Depends on the coding

The correct answer is: Depends on the coding

The correct choice hinges on the understanding of the global period and how it affects billing for services such as injections during this time frame. The global period is a designated time after a surgical procedure during which all related follow-up care and services are bundled into the surgical payment. In the case of injections like 5-FU (5-fluorouracil), they can be performed during the global period, but whether they are reimbursed depends on how they are coded and the context of the injection. If an injection is considered a part of the surgical procedure, it would typically not be separately reimbursed. However, if the injection is warranted due to a specific condition or need that is unrelated to the surgical procedure, the injection could potentially be billed separately. Additionally, if a separate office visit is billed and documented in conjunction with the injection, this might support reimbursement. Therefore, the determination of payment is contingent upon specific coding, documentation, and the context of the treatment provided. Thus, it is appropriate to say that whether injections during the global period are paid for truly depends on the coding used and the situation surrounding the administration of the injection.