Need a quick summary of the global surgical package and frequently used modifiers, including modifiers 54 & 55? This article from CodingIntel will ensure that your medical practice gets paid correctly utilizing global surgery billing, but doesn’t try to collect extra for services that are part of the global payment.
This article includes a 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 each surgical code 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.
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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