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Medical coding resources for physicians and their staff. CodingIntel was founded by consultant and coding expert Betsy Nicoletti.

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March 25, 2023

Global Surgical Package: an overview

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Need a quick summary of the global surgical package and frequently used modifiers? This article from CodingIntel will ensure that your medical practice gets paid correctly for services that are performed.

This article includes

  • Definition of the global surgical package
  • Explanation of global surgery billing
  • Explanation of “separate procedure”
  • Global Surgery Billing and Coding Rules
  • List of surgical modifiers with definitions, guidelines for billing multiple surgical procedures, and citations.

Download the Global Surgery Coding Guide to use as an in-depth desk reference.

What is the Global Surgical Package?

The global surgical package is a concept developed by Medicare in 1992 which bundles the payment for certain pre-operative, intra-operative and post-operative services into a single payment.

Explanation of Global Surgery Billing

The Medicare Physician Fee Schedule Data Base assigns procedures a 0, 10 or 90 day global period. That means payment for follow up for the procedure is included in the global surgery billing payment. CodingIntel has separate posts for modifiers 24 and 25

A separate Evaluation and Management service may be billed in addition to the surgical service when performed the day of the procedure, if the E/M service meets the criteria for use of modifier 25 or 57, and the day before the surgical procedure if the E/M service meets the criteria for use of modifier 57. 

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Last revised December 15, 2022 - Betsy Nicoletti
Tags: global surgery issues

CPT®️️ is a registered trademark of the American Medical Association. Copyright American Medical Association. All rights reserved.

2023 E/M reference sheets

These handy quick reference sheets included at-a-glance MDM requirements for office, hospital, nursing home and home and residence services. And, a bonus sheet with typical time for those code sets. Sign up for Betsy’s monthly newsletter to download these reference sheets and share them with your practitioners.

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2023 E/M guidelines for hospital, nursing facility, home and residence services | Webinar

Effective January 1, 2023, the AMA has revised the definitions and guidelines for hospital and other E/M services, including ED visits, nursing facility services, home services, and domiciliary care codes. Also, coding for prolonged care services gets another overhaul with revised codes and guidelines. Watch this webinar about all these changes.

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Our mission is to provide up-to-date, simplified, citation driven resources that empower our members to gain confidence and authority in their coding role.

In 1988, CodingIntel.com founder Betsy Nicoletti started a Medical Services Organization for a rural hospital, supporting physician practice. She has been a self-employed consultant since 1998. She estimates that in the last 20 years her audience members number over 28,400 at in person events and webinars. She has had 2,500 meetings with clinical providers and reviewed over 43,000 medical notes. She knows what questions need answers and developed this resource to answer those questions. For more about Betsy visit www.betsynicoletti.com.

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