ED Coding & Reimbursement Alert - 2019 Issue 1
Avoid Modifier 57 Snafus with Global Surgery Know-How
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Article Overview
This article is a brief coding guidance piece focused on Medicare global surgery package concepts and their relationship to modifier 57 in CPT coding. It summarizes the key differences between 10-day and 90-day global periods, notes how CMS classifies major and minor surgeries, and points readers to a CMS educational resource for further review. The content is aimed at coders, billers, and revenue cycle staff who need a basic understanding of global surgery concepts.
Why This Topic Matters
Global surgery rules affect whether certain services are separately payable and how surgical encounters are interpreted for coding purposes. Understanding the broad distinction between global period types helps coding professionals review cases more confidently and reduce avoidable claim issues.
What You Will Learn
- How Medicare distinguishes between two broad global surgery package types
- How global surgery concepts relate to modifier 57 in CPT coding
- What CMS highlights about the timing structure of global periods
- Which CMS educational resource is referenced for additional guidance
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance teams
Codes Discussed
Modifiers Discussed
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