tci Part B Insider - 2005 Issue 29

Part B Coding Coach: Use This Guide To Get A Grip On Global Periods

Learn how modifier 78 breaks all the 'resetting' rulesIgnoring global periods can wreak havoc on your bottom line. We examine the seven global periods Medicare applies to all procedure codes and explain how these assignments should influence the way you append modifiers. Count Your Days For Major Or Minor Of the seven different types of globals Medicare has established, three represent the number of days of postoperative care included in the fee for the initial procedure:000 - This period indicates that zero days of postoperative care are included in the payment, but any related evaluation and management work done...

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