decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 2 (February)
Failure to use modifiers -78, -79 or -58 will result in denial within global
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Article Overview
This short coding article addresses global surgery billing under Medicare and explains why procedures performed during a prior procedure’s global period may be denied if the claim is not reported with the appropriate modifier. It is intended for coders, billers, and physicians who handle postoperative or return-to-OR claims and need to understand the general scope of the guidance discussed in the article.
Why This Topic Matters
Global surgery claims can be denied when postoperative procedures are not reported with the modifier framework discussed in the article. Understanding the topic helps practices recognize that Medicare guidance, documentation, and claim reporting are central to these situations.
What You Will Learn
- How global surgery billing is addressed in the article
- What general types of postoperative or return-to-OR situations are discussed
- Why documentation and claim reporting are relevant in this context
- How Medicare guidance is referenced as the basis for the discussion
Who Should Read This
- Medical coders
- Billing staff
- Physicians
- Practice managers
Modifiers Discussed
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