Navigating medical coding can be a challenge, especially when it comes to understanding when procedures and Evaluation & Management (E/M) services are separately billable. Three key concepts—separate procedures, global surgical packages, and E/M modifiers play a critical role in accurate and compliant billing. Let’s break them down. Separate Procedures: When to Bill and When to […]
Visits in the Maternity Package
Question:Â How many visits are included in the payment for the maternity care package? Answer:Â The global maternity package includes approximately 13 routine antepartum visits for an uncomplicated pregnancy: monthly visits up to 28 weeks, biweekly visits to 36 weeks, and weekly visits until delivery. Fewer than four prenatal visits do not qualify for global reimbursement and […]
Coding Guide – Maternity Services
Download Guide Guide updated Sept. 2025 This guide addresses CPT® coding for maternity care services. It covers coding for professional services performed by physicians and other qualified health care professionals including Certified Nurse Midwives in obstetrics, family medicine, and maternal-fetal medicine. It describes how to code for global maternity care, antepartum care only, delivery services […]
Reporting the Global Surgical Package | Webinar
Recorded October 16th, 2025
1 CEU expires 10/30/26
The global surgical package provides a single payment for services normally performed before, during and after a procedure. This webinar will review both CPT® and CMS rules and explain what services are included in the payment and what services may be reported separately.
What Does the Decision to Perform a Minor Procedure Really Mean?
This article is updated with CPT’s March 2023 document, “Reporting CPT Modifier 25.” (citation at the end of the article) The CPT article adds specificity to what is included in typical pre and post work, which will make it more difficult to report both a procedure and an E/M service for some encounters. According to […]
Avoid These 4 Costly Errors When Coding Minor Surgical Procedures
Does your practice perform any minor or major procedures? If so, this post is for you! This post relates to the global package, and not to determining the risk of additional diagnostic testing or treatment in an E/M service. Primary care practices and urgent care centers should pay special attention to these issues and avoid […]
Coding Guide – Global Surgery
This guide from CodingIntel explains surgery coding guidelines and the global period for procedures, and includes the contents of our original CPT® and HCPCS Modifier Guide.
Billing Admission and Subsequent Visits for Patient Having Surgery
What if I admit a patient and don’t take the patient immediately to surgery? Can I bill for the admission and subsequent visits if the patient goes to surgery later in the week? In this case it depends on when you admit the patient and when you decide to take the patient to surgery. A […]
Can I Get Paid for…Evaluation Prior to Surgery
The surgeon evaluates a patient, and determines that surgery is needed. Can the surgeon get paid for this initial service? Watch this short video about billing for evaluation prior to surgery. See also modifier 57. Back to list Relevant Search Terms: modifier 57, global surgical package, global surgery