decisionhealth Newsletters, Coder Pink Sheets - 2026 Issue 7 (July)
CMS mulls global surgery period reductions, additions and revisions
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Article Overview
This article surveys three global-surgery-related proposals in the proposed 2027 Medicare physician fee schedule. It covers CMS consideration of changes to postoperative-visit reporting, a payment approach for certain same-day evaluation and management services, and expanded circumstances for reporting a patient-care add-on. The discussion also references earlier policy history, agency concerns about valuation data, and a related request for public comment.
Why This Topic Matters
The proposals could affect reporting and payment for practices that provide procedures with global surgery periods and other services on the same day. The article helps readers identify the areas CMS is considering and the issues that may warrant attention as the proposed fee schedule is reviewed.
Article Sections
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Wrap up global surgery period data collection
This section discusses CMS’s history of collecting postoperative-visit data and its consideration of changes to the reporting program. It also references valuation statistics from Medicare claims.
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Cut payment for claims with a modifier
This section covers a proposed payment policy involving same-day evaluation and management services and procedures with global surgery periods. It also describes the scope of CMS’s proposal and its request for comment.
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Allow the patient-trust add-on with same-day global period services
This section reviews a proposal concerning same-day reporting of a patient-care add-on with certain procedures. It also notes other proposed revisions to the add-on.
What You Will Learn
- What changes CMS is considering for postoperative-visit data collection and reporting.
- The general scope of a proposed payment policy for certain same-day services.
- How CMS proposes to address reporting a patient-care add-on with same-day global surgery services.
- Which related policy questions CMS is seeking comment on.
Who Should Read This
- Medical practice administrators
- Physicians and other clinicians
- Medical coders and billers
- Revenue cycle and compliance professionals
- Healthcare policy professionals
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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