tci Part B Insider - 2019 Issue 1

Avoid Modifier 57 Snafus with Global Surgery Know-How

Peruse the 10-day versus 90-day global package details. A review of global surgery distinctions is a great starting point to avert modifier 57 (Decision for surgery) issues. Consider these two Medicare guidelines on 10-day and 90-day global surgery packages that may factor into your CPT® coding. 1. See CMS clarifications on 10-day global surgery packages: “No preoperative period, “Visit on day of 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.&rdquo...

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