tci ED Coding & Reimbursement Alert - 2019 Issue 2

Get A Handle on Global Periods When Considering Modifier 57

The CMS Global Surgery Booklet is a great starting point to investigate the nuances of global periods. Take a look at these two agency guidelines on 10-day and 90-day global surgery packages that may factor into your modifier 57 (Decision for surgery) coding smarts. 1. See CMS clarifications on 10-day global surgery packages: “No preoperative period, “Visit ondayof the procedure is generally not payable as a separate service, “Total global period is 11 days. Count the day of the surgery and the 10 days immediately following the day of the surgery.” Example: A patient complains...

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