Global Surgical Package: an overview

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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