When the physician is making a decision for surgery on a procedure with a 0-10
day global period a -25 modifier is used on the E/M. If the
procedure discussed has a 90 day global period the -57 modifier would then apply
to the E/M.
Ex: 20610 = 0 day global
Code as: 99213-25, 20610
Ex: 27816 = 90 day global
Code as: 99213-57, 27816
Global Periods: 0 days = the day of, 10 days = the day of + 10 days after, 90 days = the day before, the day of and 90 daysafter.
0=1
10=11
90=92
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